Should Modified Heller’s Cardiomyotomy Be Combined with Antireflux Procedure

  • Paweł Misiuna
  • Grzegorz Wallner
Conference paper


Achalasia, one of the diffuse motor disorders, is characterized by the absence of the primary peristalsis of the esophagus. The response to normal deglutition is characterized by the absence of peristalsis in the body of the esophagus and the failure of the relaxation usually found in the hypertrophic lower sphincter [1]. The etiology is unknown. Pathologically, achalasia is confirmed by the lack or degeneration of Auerbach’s plexus, and structural changes in the muscular layer of the lower esophagus [2, 3]. It leads to dilatation of the esophagus above a functional stricture with typical symptoms: dysphagia especially in emotional situations, vomiting, chest pain, weight loss, and broncho-pulmonary complications [1, 3, 4, 5].


Gastroesophageal Reflux Lower Esophageal Sphincter Reflux Esophagitis Lower Esophagus Antireflux Procedure 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Baunack AR, Weihrauch TR (1988) Classification and diagnosis of esophageal motility disorders. Esophagus 88, Danish Esophagus Club: 165–170Google Scholar
  2. 2.
    Davis JH (1987) Esophagus. In: Van Schaik Th, Manning TA, Clinical surgery. CV Mosby, pp 1398–1402Google Scholar
  3. 3.
    Ellis FH Jr (1984) Esophageal achalasia—is simple esophageal myotomy the treatment of choice? In: Doody DJ, Advances in gastrointestinal surgery. Year Book Medical Publishers, pp 47–55Google Scholar
  4. 4.
    Farmer RG, Achkar E, Flesher B (1983) Motor disorders of the esophagus. In: Farmer RG, Achkar E, Flesher B, Clinical gastroenterology. Raven, pp 157–164Google Scholar
  5. 5.
    Vantrappen G, Hellemens J (1983) Esophageal motility disorders. In: Chey WY, Functional disorders of the digestive tract. Raven, pp 117–124Google Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Paweł Misiuna
  • Grzegorz Wallner
    • 1
  1. 1.Second Department of General SurgeryMedical AcademyLublinPoland

Personalised recommendations