[Endoscopic surgery for benign esophageal diseases]

Area of Science:

• Gastroenterology and minimally invasive surgery.
• Focus on benign esophageal diseases: Gastroesophageal Reflux Disease (GERD) and esophageal achalasia.

Context:

• GERD and achalasia are prevalent benign esophageal conditions requiring effective treatment.
• Current guidelines recommend minimally invasive surgical approaches for these diseases.
• Surgical indications for GERD include failed medical management and specific 'atypical' symptoms.

Purpose:

• To outline the current recommendations and preferred surgical modalities for GERD and esophageal achalasia.
• To highlight the effectiveness and safety of laparoscopic procedures for these conditions.

Summary:

• Laparoscopic Nissen fundoplication is standard for GERD with normal motility; partial fundoplication is an alternative to reduce dysphagia.
• Laparoscopic Heller myotomy with partial fundoplication is increasingly preferred over pneumatic dilatation for achalasia.
• Both procedures are generally effective and safe when performed by experienced surgeons.

Impact:

• Laparoscopic surgery provides an effective and safe treatment option for patients suffering from GERD and achalasia.
• Adherence to guidelines and surgeon expertise are crucial for optimal patient outcomes.
• Minimally invasive techniques represent the current standard of care for these common esophageal disorders.