Related Experiment Video
Updated: Nov 1, 2025
Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
Published on: February 16, 2024
[Laparoscopic Heller Myotomy in the Treatment of Achalasia]
Jens Rolinger1, Johanna Miller1, Rupert Bolzenius1
1Klinik für Allgemein- und Viszeralchirurgie, Kliniken Maria Hilf GmbH, Mönchengladbach, Deutschland.
Background:
Achalasia refers to a primary oesophageal motility disorder characterised by the absence of peristalsis and incomplete or complete lack of relaxation of the lower oesophageal sphincter. The cardinal symptom is dysphagia. The therapeutic goal is surgical or interventional repair of the oesophageal outflow tract at the level of the oesophagogastric junction.
Indication:
We present the case of a 24-year-old patient with dysphagia accompanied by regurgitations, odynophagia as well as an unintentional weight loss over two years.
Methods:
The video describes the preoperative imaging as well as endoscopic findings and demonstrates the technique of laparoscopic Heller myotomy followed by Dor fundoplication.
Conclusions:
Concerning the therapy of classic achalasia, laparoscopic Heller myotomy followed by Dor fundoplication - despite controversies regarding peroral endoscopic myotomy as an alternative therapeutic option - can be considered as an established standard procedure.
