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Laparoscopic Heller Myotomy and Posterior Partial Fundoplication

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Foregut Surgery

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Abstract

Achalasia is a rare primary esophageal motility disorder that causes mostly progressive dysphagia and regurgitation. The goal of therapy for achalasia is to provide symptom relief by reducing esophageal outflow resistance by disrupting the muscles at the esophagogastric junction (EGJ) to allow emptying by gravity. Although there are several options to achieve this goal, surgical myotomy with partial fundoplication has been shown to be very effective and able to strike a balance between relief of symptoms and control of abnormal GER. Since reflux of gastric contents into the aperistaltic esophagus may cause esophagitis, peptic strictures, Barrett’s esophagus, and even esophageal cancer, the addition of a partial fundoplication is very important. In this chapter, we will discuss the pros and cons of the different types of fundoplication.

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Authors and Affiliations

  1. Department of Surgery, University of North Carolina, Chapel Hill, NC, USA

    Timothy M. Farrell & Marco Di Corpo

  2. Department of Medicine, Center for Esophageal Diseases and Swallowing, University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

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  1. Timothy M. Farrell
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Correspondence to Timothy M. Farrell .

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Editors and Affiliations

  1. University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

  2. University of North Carolina, Chapel Hill, NC, USA

    Marco Di Corpo

  3. University of Buenos Aires, Buenos Aires, Argentina

    Francisco Schlottmann

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Farrell, T.M., Di Corpo, M., Patti, M.G. (2020). Laparoscopic Heller Myotomy and Posterior Partial Fundoplication. In: Patti, M., Di Corpo, M., Schlottmann, F. (eds) Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27592-1_7

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