Abstract
For patients with achalasia, a complete workup including upper endoscopy, esophageal radiography, and esophageal manometry is essential to definitively confirm the diagnosis. Laparoscopic Heller myotomy with Toupet partial posterior fundoplication is an extremely effective treatment for symptoms of dysphagia and regurgitation, as well as the respiratory symptoms that frequently accompany this disease, and can be considered as first line of therapy in the majority of patients. In particular, it is important to ensure that the length of the myotomy onto the gastric cardia is at least 3 cm in order to achieve the highest patient satisfaction rates with the least likelihood of needing subsequent intervention for dysphagia.
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Tatum, R.P. (2016). Laparoscopic Heller Myotomy with Toupet Partial Posterior Fundoplication. In: Fisichella, P., Herbella, F., Patti, M. (eds) Achalasia. Springer, Cham. https://doi.org/10.1007/978-3-319-13569-4_11
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DOI: https://doi.org/10.1007/978-3-319-13569-4_11
Publisher Name: Springer, Cham
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