Related Experiment Video

Updated: Jun 9, 2026

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia
09:46

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Published on: February 16, 2024

Laparoscopic Heller's cardiomyotomy in cirrhosis with oesophageal varices

Abhay N Dalvi1, Pinky M Thapar, Nitin M Narawane

  • 1Department of Minimal Invasive Surgery, Jupiter Hospital, Thane, Maharashtra, India.

Journal of Minimal Access Surgery
|September 4, 2010
PubMed

Insights

Laparoscopic cardiomyotomy successfully treated a patient with hepatitis C cirrhosis, esophageal varices, and achalasia cardia. This minimally invasive approach offers advantages despite technical challenges in cirrhotic patients.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Surgical Innovation

Background:

  • Cirrhosis with portal hypertension increases surgical risks, including bleeding and complications.
  • Laparoscopic surgery presents benefits but also technical difficulties in cirrhotic patients.

Observation:

  • A case of hepatitis C cirrhosis with esophageal varices and achalasia cardia was reported.
  • The patient underwent laparoscopic cardiomyotomy for symptomatic achalasia cardia.

Findings:

  • Successful treatment of symptomatic achalasia cardia in a patient with hepatitis C cirrhosis and esophageal varices via laparoscopic cardiomyotomy.
  • This represents a novel case with no prior reports in PubMed literature.

Implications:

  • Laparoscopic cardiomyotomy is a viable and potentially safer option for achalasia cardia in select cirrhotic patients.
  • Thorough preoperative assessment and meticulous surgical planning are crucial for managing complex cases in patients with liver cirrhosis.

Keywords:
Achalasiacirrhosisesophageal variceslaparoscopic cardiomyotomy

More Related Videos

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III04:41

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III

Published on: February 27, 2009

Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...