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Technique of myotomy in laparoscopic Heller procedure

B Dallemagne, MD S Perretta, MD, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jun 2011;11(06). URL: http://websurg.com/doi/vd01en3272

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  • 2011-06-15
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This is the case of a 60-year-old woman with a chief complaint of dysphagia for solids and liquids, regurgitation, and chest pain. An initial diagnosis of achalasia was made in 2007 with the manometry showing a high hypertonic low esophageal sphincter which failed to relax and respond to swallowing. Upper GI series showed a severe dilatation of the esophagus and narrowing at the gastroesophageal junction. An endoscopic dilatation was attempted, but failed. Decision was made to perform a laparoscopic Heller myotomy together with a Dor fundoplication.