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
Case Reports
. 2010 Apr;6(2):46-9.
doi: 10.4103/0972-9941.65164.

Laparoscopic Heller's cardiomyotomy in cirrhosis with oesophageal varices

Abhay N Dalvi  1 , Pinky M Thapar, Nitin M Narawane, Rippan N Shukla
Affiliations
Case Reports

Laparoscopic Heller's cardiomyotomy in cirrhosis with oesophageal varices

Abhay N Dalvi et al. J Minim Access Surg. 2010 Apr.

Abstract

Surgical intervention in cirrhosis of liver with portal hypertension is associated with increased morbidity and mortality. This is attributed to liver decompensation, intra-operative bleeding, prolonged operative time, wound related and anaesthesia complications. Laparoscopic surgery in cirrhosis is advantageous but is associated with technical challenges. We report one such case of hepatitis C cirrhosis with oesophageal varices and symptomatic achalasia cardia, who was successfully treated by laparoscopic cardiomyotomy after thorough preoperative workup and planning. In the review of literature on pubmed, no such case is reported.

Keywords: Achalasia; cirrhosis; esophageal varices; laparoscopic cardiomyotomy.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
CT angiogram showing collaterals marked with arrows.
Figure 2
Figure 2
Completed cadiomyotomy showing cirrhotic liver, cardiomyotomy and endoscopic illumination.
Figure 3
Figure 3
Completed fundoplication showing dilated collaterals and liver retraction.
See this image and copyright information in PMC

References

    1. Del Olmo JA, Flor-Lorente B, Flor-Civera B, Serra MA, Escudero A, Lledo S, et al. Risk factors for nonhepatic surgery in patients with cirrhosis. World J Surg. 2003;27:647–52. - PubMed
    1. Fernandes NF, Schwesinger WH, Hilsenbeck SG, Gross GW, Bay MK, Sirinek KR, et al. Laparoscopic cholecystectomy and cirrhosis: A case-control study of outcomes. Liver Transpl. 2000;6:340–4. - PubMed
    1. Kuster GG, Innocenti FA. Laparoscopic anatomy of the region of the esophageal hiatus. Surg Endosc. 1997;11:883–93. - PubMed
    1. Cohen S, Lipshutz W. Lower esophageal sphincter dysfunction in achalasia. Gastroenterology. 1971;61:814–20. - PubMed
    1. Castell DO. Achalasia and diffuse esophageal spasm. Arch Intern Med. 1976;136:571–9. - PubMed

Publication types

LinkOut - more resources