
	Where results make sense

Topic: Heller myotomy

Related Topics

Joseph Heller

Zo Heller

Andre Heller

Steven Heller

Keith Heller

Bill Heller

Arnoldo Krumm Heller

Heller rocket

Heller in Pink Tights

Lukas Heller

Stephen Heller

Louis Benjamin Heller

In the News (Wed 15 Oct 08)

Richard Garriott

Janet Jackson

Iron Man

Steve Jobs

Atletico Madrid

Sarah Palin

Princeton University

Jon Lester

Nobel Prize

Angel Island

	What is a Myotomy?
		A common example of myotomy is a procedure known as Heller myotomy.
		Heller myotomy is used to treat achalasia, a condition in which the cardia is unable to relax properly and the sufferer is unable to swallow liquids or food.
		Heller myotomy is performed by cutting the muscles of the cardia, the lower esophageal sphincter.
	www.wisegeek.com /what-is-a-myotomy.htm (357 words)

	Heller myotomy - Wikipedia, the free encyclopedia
		Heller myotomy is a form of surgery in which the muscles of the cardia (lower esophageal sphincter) are cut, allowing food/liquid to pass to the stomach.
		It was suggested by Heller in 1913 and was initially performed using an open procedure, thoracotomy, which carries significant risks and requires long recovery times.
		Modern Heller myotomy is performed using minimally invasive laparoscopic techniques, which minimize risks and speed recovery significantly.
	en.wikipedia.org /wiki/Heller_myotomy (275 words)

	Surgical treatment for achalasia : GI Motility online
		To clear a path for the myotomy across the GEJ, we resect the cardioesophageal fat pad to the left of the anterior vagus nerve while simultaneously mobilizing the vagus from the esophagus.
		The myotomy is begun approximately 3 cm below the GEJ and an L-shaped hook electrocautery device is used to divide the muscle fibers.
		Heller myotomy is superior to dilatation for the treatment of early achalasia.
	www.nature.com /gimo/contents/pt1/full/gimo53.html (5131 words)

	Baylor Health Care System: Achalasia: Willis or Heller?
		Following myotomy, we use esophagoscopy to confirm adequacy of the myotomy and air insufflation with the esophagus submerged in saline to ensure that there is no unrecognized perforation.
		Laparoscopic Heller myotomy with a partial fundoplication is a safe and effective treatment for patients with achalasia.
		Heller myotomy is superior to dilation for the treatment of early achalasia.
	www.baylorhealth.edu /proceedings/12_4/12_4_vanderpool.html (2802 words)

	eMedicine - Achalasia : Article by P Marco Fisichella
		A laparoscopic Heller myotomy is considered by many to be the appropriate primary treatment of patients with achalasia (see Surgical Care).
		A Heller myotomy and a partial fundoplication performed from the chest (thoracoscopic) have a high incidence of gastroesophageal reflux.
		A prospective randomized study from Vanderbilt University has recently shown that a Heller myotomy plus a partial fundoplication was superior to a Heller myotomy alone in regard to the incidence of postoperative reflux.
	www.emedicine.com /med/topic16.htm (2019 words)

	Minimally Invasive Surgery - Laparoscopic Heller Myotomy (cardiomyotomy)
		The myotomy is performed by separating the outer longitudinal muscle layer and incising the inner circular mucle layer.
		Distally, the myotomy is carried across the gastroesophageal junction and on to the stomach for about 1-2 cm.
		Once the myotomy is completed, the muscle edges are separated from the underlying mucosa for approximately 40% of the esophageal circumference.
	www.hmc.psu.edu /mis/services/heller.htm (954 words)

	SSAT - 2001 Abstract: 2423 Routine Fundoplication is not Necessary with Laparoscopic Heller Myotomy and ... (Site not responding. Last check: )
		We hypothesized that routine fundoplication during laparoscopic Heller myotomy is unnecessary to achieve good outcomes when intraoperative endoscopy is used.
		Conclusion: When intraoperative endoscopy is used during laparoscopic Heller myotomy, disruption of natural antireflux mechanisms by undue dissection around the lower esophagus is avoided, adequacy of myotomy is assured, and excessive myotomy onto the cardia is averted.
		Routine fundoplication is not necessary with laparoscopic Heller myotomy and intraoperative endoscopy.
	www.ssat.com /cgi-bin/abstracts/01ddw/2423.cgi?affiliation=other (362 words)

	Cirurgiaonline.med.br - Projetos (Site not responding. Last check: )
		Laparoscopic Heller myotomy relieves disphagia in achalasia when the esopahgus is dilated.
		E.Treatment of esophageal achalasia with laparoscopic Heller myotomy an Dor anterior fundoplication: prospective evaluation of 100 consecutive patients.
		Laparoscopic Heller myotomy and anterior fundoplication for achalasia results in a high degree of patient satisfaction.
	www.cirurgiaonline.med.br /projetos/ivan04.htm (510 words)

	AATS: Should Dor Fundoplication Be Added to Heller Myotomy?: A Physiologic Clinical Study of Achalasia
		Myotomy for achalasia disrupts the lower esophageal sphincter, improving emptying at the expense of reflux.
		Therefore, we physiologically assessed the impact of Dor fundoplication on Heller myotomy.
		Adequacy of myotomy was assessed by pre- to postoperative change in lower esophageal sphincter (LES) pressures, esophageal emptying by change in timed barium esophagram (TBE), and gastroesophageal reflux by postoperative 24-h pH monitoring.
	www.aats.org /annualmeeting/Abstracts/2005/9953.html (311 words)

	Laparoscopic Heller-Dor operation for patients with achalasia
		The myotomy was extended upward 4－5 cm on the esophageal side and downward 1－2 cm on the gastric side across the sling muscles of the gastroesophageal junction.
		The length of the myotomy was measured by the marks on the irrigation/suction tube.
		Furthermore, it reduces the risk of perforation or disease recurrence due to incomplete myotomy in the distal part of esophagus and at the gastric junction, which is difficult to access by the thoracoscopic approach.
	www.cmj.org /periodical/PaperList.asp?id=LW0360 (2332 words)

	Esophagocardiomiotomy or modified Heller's procedure ...
		Background: Since 1913 surgical myotomy has been an effective method for patients with esophageal achalasia and until today there is controversy between pneumatic dilatation or surgery and between the abdominal or thoracic approach for Heller's procedure.
		Methods: The charts of 31 patients with achalasia operated of thoracic Heller's myotomy between 1986 and 1995 were reviewed in retrospective fashion.
		Prior abdominal Heller's myotomy was performed in 5 patients, 25 percent of patients developed postoperative complications, there was no operative mortality.
	www.imbiomed.com.mx /Gastro/Gav61n3/english/Zge63-04.html (208 words)

	UT Medical Center - Laparoscopic Heller Myotomy
		Laparoscopic Heller myotomy is used to treat esophageal achalasia, a disorder of the esophagus.
		Achalasia is when the esophagus is less able to move food toward the stomach, and the valve from the esophagus to the stomach does not relax as much as it needs to during swallowing.
		Not all patients are candidates for the Laparoscopic Heller myotomy and may require an open surgery.
	www.utmedicalcenter.org /utm_minimally_invasive_procedures/mip_procedures/laparoscopic_heller_myotomy (221 words)

	Does the persistence of an LES high-pressure zone prevent reflux after a Heller myotomy ?
		However, the question of whether the persistence of an LES high-pressure zone prevents reflux post myotomy in achalasia patients is difficult to answer definitively.
		In a 1972 study using infused-catheter manometry, Heitman and Wienbeck [2] reported that resting LES pressure decreased from 19 ± 7 SD mmHg to 7 ± 2 mmHg in 10 achalasia patients who underwent a pneumatic dilatation.
		concluded that after myotomy that «the maintenance of a short segment of high pressure in the region of the sphincter accounts for a very low incidence of reflux » in their series of patients [1].
	www.hon.ch /OESO/free/Vol_4_Prim_Motility/Articles/ART160.HTML (233 words)

	[No title]
		Achalasia is a rare disease of esophageal motility and is the primary indication for esophageal myotomy.
		The application of laparoscopic technology to this procedure has decreased the wound complications and has shortened the post operative convalescence associated with the traditional open procedure.
		This procedure will require a thoracoscopic approach to achieve the recommended distance of myotomy described in the literature of open myotomies for this condition.
	www.bgsm.edu /surg-sci/atlas/heller1.htm (361 words)

	SSAT - 2005 Abstract: Robotic-Assisted Heller Myotomy vs. Laparoscopic Heller Myotomy for Treatment of Esophageal ... (Site not responding. Last check: )
		Laparoscopic Heller myotomy (LHM) has become the standard treatment option for achalasia.
		Robotic assisted Heller myotomy (RAHM) is emerging as a safe alternative to LHM.
		The aim of this study is to compare RAHM vs. LHM in terms of efficacy and safety for treatment of achalasia.
	www.ssat.com /cgi-bin/abstracts/05ddw/SSAT_DDW05_37.cgi?affiliation= (205 words)

	Myotomy - Wikipedia, the free encyclopedia
		Myotomy describes a surgical procedure in which muscle is cut.
		A common example of a myotomy is the Heller myotomy.
		This page was last modified 06:22, 21 June 2006.
	en.wikipedia.org /wiki/Myotomy (52 words)

	SAGES Web Quiz #19 -- December 1999 -- Achalasia
		Endoscopy was utilized during the procedure to assess the length of the myotomy and to rule out concomitant perforation of the esophagus.
		No perforation was detected and the myotomy was extended two centimeters past the GE junction.
		a) Postoperative results with regards to the absence of symptomatic reflux are superior for Heller myotomy with a concomitant fundoplication especially when an open transabdominal approach is employed.
	www.sages.org /quiz/dec99quiz.html (490 words)

	Centro Médico Teknon : Dr. Antonio De Lacy (Site not responding. Last check: )
		The proposed myotomy line is marked on the surface of the esophagus.
		The myotomy is approximately 8 cm long, extending distally for about 2 cm onto the gastric wall and proximally for about 6 cm above the esophagogastric junction.
		Laparoscopic Heller myotomy with anterior partial fundoplication (Dor procedure).
	www.teknon.es /consultorio/delacy/general_digestiva/acalasia.htm (261 words)

	Heller's myotomy - General Practice Notebook (Site not responding. Last check: )
		Heller's myotomy is an operation used to treat achalasia and vigorous achalasia.
		It involves complete division of the circular muscle at the level of the oesophagogastric junction.
		Oxbridge Solutions Ltd® is an independent company owned by the authors which does not receive income from any other organisation or individual.
	www.gpnotebook.co.uk /cache/2087387177.htm (228 words)

	Arch Surg -- Abstract: Laparoscopic Heller Myotomy and Dor Fundoplication for Achalasia: Analysis of Successes and ...
		Arch Surg -- Abstract: Laparoscopic Heller Myotomy and Dor Fundoplication for Achalasia: Analysis of Successes and Failures, August 2001, Patti et al.
		achalasia underwent laparoscopic Heller myotomy and Dor fundoplication.
		myotomy and a constricting Dor fundoplication were the avoidable
	archsurg.ama-assn.org /cgi/content/abstract/136/8/870 (361 words)

	Achalasia - My Child Has - Children's Hospital Boston
		The treatment of choice for the condition is a surgical procedure known as a Heller myotomy, in which the muscles surrounding the esophagus and the lower esophageal sphincter are cut to allow food and liquids to pass to the stomach more readily.
		The procedure can be performed using traditional open surgery methods, which require a large incision, or using laparascopic surgical techniques, which reduce the size of the incision, cause less pain, and reduce recovery time.
		At Children's Hospital Boston, Heller myotomy procedures can be performed using robotic surgery equipment, allowing patients the benefits of minimally invasive surgery and improving surgical precision.
	www.childrenshospital.org /az/Site1238/mainpageS1238P0.html (376 words)

	Laparoscopic Myotomy
		Anselmino M et al: Laparoscopic Heller Cardiomyotomy and Thoracoscopic Long Myotomy for the treatment of primary esophageal motor disorders.
		Bloomston M et al: Videoscopic Heller Myotomy for Severe Achalasia.
		Heniford BT et al: Laparoscopic Anterior Esophageal Myotomy and Toupet Fundoplication for Achalasia.
	www.laparoscopy.net /acha/acha11.htm (74 words)

	Division of Cardiothoracic Surgery - Heller Myotomy
		A surgical procedure called the Heller myotomy has become the treatment of choice and offers long-term symptomatic relief to those who have the disorder.
		A trocar (hollow tube) is inserted, and the abdomen is filled with carbon dioxide gas to allow visualization of the abdominal organs.
		The tip of the stomach is then wrapped around behind the esophagus (this is called a fundoplication) and sewn to the edges of the myotomy both to keep the myotomy open and to prevent any gastroesphageal reflux that may be caused by destroying the valve.
	www.cardiothoracicsurgery.wustl.edu /PatientCare/HellerMyotomy.asp (492 words)

	complications from heller myotomy
		The Heller approach provides relief in 70 to 90 percent of patients.
		Because of all the other problems I have I was hoping to have Botox to give me a bit more time for other Neuro tests but he will not agree to this.
		I would then as my second choice have gone for a Heller to be done with the issue but reading your post has sort of worried me.
	www.medhelp.org /forums/gastro/messages/35767.html (1536 words)

	Minimally Invasive Surgery - Heller Myotomy
		A surgical procedure called the Heller myotomy has become the treatment of choice and offers long-term symptomatic relief to those who have the disorder.
		A trocar (hollow tube) is inserted, and the abdomen is filled with carbon dioxide gas to allow visualization of the abdominal organs.
		The stomach is then wrapped around behind the esophagus (this is called a fundoplication) and sewn to the edges of the myotomy both to keep the myotomy open and to relieve any gastroesphageal reflux that may be caused by destroying the valve.
	www.wuimis.wustl.edu /PatientCare/HellerMyotomy.asp (518 words)

	Casco Bay Surgery - Heller Myotomy Postoperative Instruction Sheet
		The Heller myotomy involves dividing the sphincter muscle at the lower end of your esophagus.
		The sphincter doesn't relax normally right now and is responsible for a large part of your swallowing trouble.
		If you don't live near Portland and would like a telephone call instead of an office visit just let us know a few days before your appointment.
	www.cascobaysurgery.com /Heller-info.htm (911 words)

	Ge dor - Heller Myotomy Versus Heller Myotomy With Dor Fundoplication for
		Ge dor - Heller Myotomy Versus Heller Myotomy With Dor Fundoplication for
		Heller Myotomy Versus Heller Myotomy With Dor Fundoplication for
		These authors compared this treatment of extended gastric myotomy to standard myotomy 1.5 cm below the external GE junction with addition of a Dor
	yourinfoseed.com /yisd/ge-dor.htm (518 words)

	207: LONG TERM RESULTS OF LAPAROSCOPIC HELLER MYOTOMY IN 25 PATIENTS WITH ACHALASIA (Site not responding. Last check: )
		AIMS: The purpose of this retrospective study was to assess the long term results of laparoscopic Heller myotomy and partial antireflux procedure (LHMPA).
		The other two complications were esophageal leak and post operative infection, treated conservatively with uneventful course.
		CONCLUSION: Laparoscopic Heller myotomy with antireflux procedure is a safe and effective treatment for achalasia with excellent long term results.
	www.cag-acg.org /cddw/cddw2003/abs/abs207.htm (327 words)

	A physiologic clinical study of achalasia: Should Dor fundoplication be added to Heller myotomy? -- Rice et al. 130 ...
		OBJECTIVE: Myotomy for achalasia disrupts the lower esophageal sphincter,
		METHODS: From December 1996 to June 2004, 149 patients underwent Heller
		of myotomy was assessed by premyotomy to postmyotomy change
	jtcs.ctsnetjournals.org /cgi/content/abstract/130/6/1593 (370 words)

Try your search on: Qwika (all wikis)