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Updated: Apr 19, 2026

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
Published on: February 16, 2024
Recurrent symptoms after Heller myotomy for achalasia: evaluation and treatment
Marco G Patti1, Marco E Allaix
1Department of Surgery, University of Chicago Pritzker School of Medicine, 5841 South Maryland Avenue, Room G-207, Chicago, IL, 60637, USA, mpatti@surgery.bsd.uchicago.edu.
Abstract:
A laparoscopic Heller myotomy with partial fundoplication is considered today in most centers in the United States and abroad the treatment of choice for patients with esophageal achalasia. Even though the operation has initially a very high success rate, dysphagia eventually recurs in some patients. In these cases, it is important to perform a careful work-up to identify the cause of the failure and to design a tailored treatment plan by either endoscopic means or revisional surgery. The best results are obtained by a team approach, in Centers where radiologists, gastroenterologists, and surgeons have experience in the diagnosis and treatment of this disease.
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