Related Experiment Video
Updated: Aug 21, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Long myotomy of the esophagus and gastric cardia with a complete fundic patch procedure for diffuse esophageal spasm
Hiroyuki Kuwano1, Tatsuya Miyazaki, Norihiro Masuda
1Department of General Surgical Science (Surgery I), Gunma University, Graduate School of Medicine, Maebashi, Gunma, Japan. hkuwano@med.gunma-u.ac.jp
Abstract:
Under the hypothesis that the surgical management of diffuse esophageal spasm requires the elimination or reduction of episodes of dysphagia and chest pain and prevention of postoperative gastroesophageal reflux, long esophageal myotomy and fundoplication had been performed. However, there have been some cases with unsatisfactory results. We describe herein a new surgical procedure of long myotomy of the esophagus and gastric cardia with a complete fundic patch operation for the patient with diffuse esophageal spasm. The advantages of this procedure are to preserve the separation of each myotomized edge and to reinforce the wall of the surface of the myotomized mucosa in order to avoid the postoperative problems. Postoperative course of the patient with this procedure was satisfactory.
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