Related Experiment Video
Updated: May 18, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
[Achalasia: role of endoscopic therapy and surgery]
Leila Abbes1, Mahaut Leconte, Romain Coriat
1CHU Cochin Port Royal, université Sorbonne Paris V, faculté de médecine, service de gastroentérologie, 75014 Paris, France.
Abstract:
Pneumatic dilation of achalasia has a same medium-term efficacy than surgery and is commonly proposed as the first-line treatment. Intra-sphincteric injection of botulinum toxin is reserved for elderly patients with serious comorbidities. Per-endoscopic myotomy is possible but needs to be evaluated by further studies. Laparoscopic Heller's myotomy in first intension is reserved for young patients less than 40 years. Results of Heller's myotomy are not modified by prior endoscopic treatment or by mega-esophagus. Better surgery results are shown in recent and severe achalasia.
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