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Updated: Jun 12, 2025

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
Published on: February 16, 2024
Serra doria procedure as an alternative treatment for end stage achalasia. A case report
Haithem Zaafouri1, Mona Cherif1, Nizar Khedhiri1
1Department of General Surgery, Habib Thameur Hospital, Tunis, Tunisia.
Abstract:
The standard of care for achalasia is laparoscopic Heller's cardiomyotomy. This procedure achieves satisfactory and long-standing results in over 85 % of patients. However, disease progression occurs in some patients leading to end-stage achalasia, occasionally requiring oesophagectomy. In a recent systematic review and meta-analysis of 1307 patients who underwent oesophagectomy for end-stage achalasia, the pooled prevalence of pneumonia, anastomotic leakage and mortality were 10 %, 7 % and 2 %, respectively. We present a Serra Doria procedure as an alternative 'esophagus-preserving' procedure in a 58-year-old female patient with end-stage achalasia. This advancement highlights the crucial role of personalized care and the ongoing research necessary to enhance outcomes for those suffering from this challenging condition.
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