Laparoscopic Management of Achalasia

  • Samad Hashimi
  • Jo Buyske
  • Marco G. Patti
  • James W. Ostroff

The first minimal access procedures for achalasia were performed thoracoscopically, by analogy with the open Heller myotomy. As laparoscopic surgeons became facile at operating around the esophageal hiatus, it became evident that an adequate myotomy could be done laparoscopically in most cases. Today, the vast majority of laparoscopic surgeons add a partial fundoplication to their myotomy. The choice of a posterior partial fundoplication (Toupet) or an anterior partial fundoplication (Dor) remains a matter of surgeon preference and discussion.


Botulinum Toxin Heller Myotomy Pneumatic Dilatation Laparoscopic Heller Myotomy Laparoscopic Management 


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Samad Hashimi
    • 1
  • Jo Buyske
    • 2
  • Marco G. Patti
    • 3
  • James W. Ostroff
    • 4
  1. 1.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Presbyterian Medical CenterPhiladelphiaUSA
  3. 3.Center for Esophageal DisordersUniversity of Chicago School of MedicineChicagoUSA
  4. 4.Endoscopy Unit and GI Consultation ServiceUniversity of CaliforniaSan FranciscoUSA

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