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Laparoscopic repair of late perforation following Heller myotomy due to overeating
S Davakis1, A Syllaios1, A Meropouli1
1Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Abstract:
Laparoscopic Heller myotomy is the mainstay surgical treatment of oesophageal achalasia and has proven to be safe and effective over the course of time. Oesophageal perforation after myotomy can be a serious complication with devastating outcomes. Most commonly, mucosal perforation are detected intraoperatively or early postoperatively. We present an extremely rare case of late oesophageal perforation in a 28-year-old man treated with laparoscopic Heller myotomy for type II oesophageal achalasia, and its successful minimally invasive repair with laparoscopic primary suturing.
Insights
Laparoscopic Heller myotomy is effective for achalasia but can cause esophageal perforation. This case highlights a rare late perforation successfully treated with minimally invasive laparoscopic repair.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Complications
Background:
- Laparoscopic Heller myotomy is a standard treatment for esophageal achalasia.
- Esophageal perforation is a rare but serious complication following myotomy.
- Perforations are typically identified during or shortly after surgery.
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