Ten-year follow-up of laparoscopic Heller myotomy for achalasia shows durability

Abstract

Most patients who underwent LHM with partial fundoplication reported satisfaction 10 years after the operation. A small number of patients required additional intervention. Dysphagia scores at 10 years were not different from those collected at short-term follow-up. Our data suggest that the efficacy of LHM is sustained at 10-year follow-up.

How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia

“…A number of studies have demonstrated that minimally invasive techniques also have excellent long-term relief of achalasia and the symptoms associated with dysphasia [12][13][14][15]. We feel that the benefits of minimally invasive surgery, in a large administrative database such as this, clearly demonstrate that, in patients who are candidates for minimally invasive myotomy, outcomes will be significantly improved over standard open operation.…”

Effect of laparoscopic esophagomyotomy on chest pain associated with achalasia and prediction of therapeutic outcomes

“…Laparoscopic Heller esophagomyotomy has produced favorable results for dysphagia in most cases of achalasia, with a response rate of approximately 90% [5,6]. As for the effect on chest pain, some studies have found the procedure to be effective [4,[9][10][11][12], whereas others have reported contradicting results [3,13,14]. Eckardt and Eckardt [15] stated in their review that this still is a controversial issue.…”

Recurrent achalasia treated with Heller myotomy: A review of the literature

“…The severity of symptoms was evaluated by a modified symptom score [17] , which consisted of the sum of the scores for dysphagia, regurgitation and chest pain. Recurrent achalasia is defined as recurrence of severe symptoms of dysphagia, regurgitation or chest pain (symptom scores of 2 or 3), and the need for intervention again, or repeat HM [18][19][20][21][22] . Data regarding the first author, year of publication, first-line treatment, operation duration, median hospital stay, and symptoms remission rate, were extracted.…”