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Updated: Jun 16, 2026
Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia
Published on: February 16, 2024
Laparoscopic Heller's cardiomyotomy
1Children's Research Centre, Our Lady's Children's Hospital, Crumlin, Dublin. rdoodnath@gmail.com
Insights
Achalasia, a rare esophageal motility disorder, causes difficulty swallowing in children. This report details the first laparoscopic Heller
Area of Science:
- Pediatric Gastroenterology
- Surgical Innovation
Background:
- Achalasia is a rare esophageal motility disorder affecting the lower esophageal sphincter (LES).
- It presents in children with dysphagia, vomiting, and chest pain, potentially causing weight loss.
Observation:
- This report presents two pediatric cases of achalasia in the Republic of Ireland.
- These cases represent the first laparoscopic Heller's cardiomyotomy procedures performed on children in the country.
Findings:
- Laparoscopic Heller's cardiomyotomy is a viable treatment for pediatric achalasia.
- Successful surgical intervention was achieved in both presented cases.
Implications:
- This study highlights the successful application of minimally invasive surgery for achalasia in pediatric patients.
- It establishes a precedent for laparoscopic Heller's cardiomyotomy in Ireland for treating achalasia in children.
Abstract:
Achalasia is a rare motility disorder which causes failure of relaxation of the lower oesophageal sphincter (LES) and is thought to affect 0.31/100,000 children per year in Ireland. The classic presentation is difficulty swallowing and vomiting undigested food, and children can often present with chest pain. In some instances, these symptoms can lead to considerable weight loss. In this report, we present 2 cases of patients with achalasia who have also been the first 2 cases of laparoscopic Heller's cardiomyotomy performed in children in the Republic of Ireland.
