Laparoscopic Heller Myotomy and Dor Fundoplication

Abstract

Introduction Achalasia is an esophageal motility disorder characterized by disordered esophageal peristalsis with failed relaxation of the lower esophageal sphincter resulting in a functional obstruction.Treatment can include medical, endoscopic, or surgical interventions. Although none of these are curative, they each offer methods to create esophageal outflow. Materials and Methods This article discusses our preferred surgical technique used for laparoscopic Heller myotomy with Dor fundoplication. This technique has been developed over the author's career. Conclusion The technique discussed provides a safe and effective strategy to manage achalasia.

Laparoscopic Heller myotomy with Dor fundoplication for esophageal achalasia treatment after distal gastrectomy and Billroth‐II reconstruction

“…It is a relatively rare disease that occurs in 1 in 100,000 people, and there is no sex predominance 1 . For cases in which medical treatment is ineffective, surgical treatments, including laparoscopic Heller myotomy with Dor fundoplication 2 or per‐oral endoscopic myotomy (POEM), 3 are used.…”