Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2005 Mar 14;11(10):1558-61.
doi: 10.3748/wjg.v11.i10.1558.

Laparoscopic Heller myotomy with or without partial fundoplication: a matter of debate

G Ramacciato  1 , F A D'Angelo, P Aurello, M Del Gaudio, G Varotti, P Mercantini, R Bellagamba, G Ercolani
Affiliations
Clinical Trial

Laparoscopic Heller myotomy with or without partial fundoplication: a matter of debate

G Ramacciato et al. World J Gastroenterol. .

Abstract

Aim: To present our experience of laparoscopic Heller stretching myotomy followed by His angle reconstruction as surgical approach to esophageal achalasia.

Methods: Thirty-two patients underwent laparoscopic Heller myotomy; an anterior partial fundoplication in 17, and angle of His reconstruction in 15 cases represented the antireflux procedure of choice.

Results: There were no morbidity and mortality recorded in both anterior funduplication and angle of His reconstruction groups. No differences were detected in terms of recurrent dysphagia, p.o. reflux or medical therapy.

Conclusion: To reduce the incidence of recurrent achalasia after laparoscopic Heller myotomy, we believe that His' angle reconstruction is a safe and effective alternative to the anterior fundoplication.

PubMed Disclaimer

References

    1. Bloomston M, Rosemurgy AS. Selective application of fundoplication during laparoscopic heller myotomy ensures favorable outcomes. Surg Laparosc Endosc Percutan Tech. 2002;12:309–315. - PubMed
    1. Decker G, Borie F, Bouamrirene D, Veyrac M, Guillon F, Fingerhut A, Millat B. Gastrointestinal quality of life before and after laparoscopic heller myotomy with partial posterior fundoplication. Ann Surg. 2002;236:750–758; discussion 758. - PMC - PubMed
    1. Ackroyd R, Watson DI, Devitt PG, Jamieson GG. Laparoscopic cardiomyotomy and anterior partial fundoplication for achalasia. Surg Endosc. 2001;15:683–686. - PubMed
    1. Patti MG, Fisichella PM, Perretta S, Galvani C, Gorodner MV, Robinson T, Way LW. Impact of minimally invasive surgery on the treatment of esophageal achalasia: a decade of change. J Am Coll Surg. 2003;196:698–703; discussion 703-705. - PubMed
    1. Richards WO, Clements RH, Wang PC, Lind CD, Mertz H, Ladipo JK, Holzman MD, Sharp KW. Prevalence of gastroesophageal reflux after laparoscopic Heller myotomy. Surg Endosc. 1999;13:1010–1014. - PubMed

Publication types