TY  - CHAP
M1  - Book, Section
TI  - Heller Myotomy with Partial Fundoplication
A1  - Hunter, John G.
A1  - Spight, Donn H.
A1  - Sandone, Corinne
A1  - Fairman, Jennifer E.
Y1  - 2018
N1  - 
T2  - Atlas of Minimally Invasive Surgical Operations
AB  - Laparoscopic  Heller  myotomy  is  indicated  for  individuals  with  well-documented  achalasia.  This  procedure  may  also  be  used  in  association  with  diverticulectomy  for  patients  with  epiphrenic  diverticula,  and  for  hypertensive  lower  esophageal  sphincter  (LES).  The  preoperative  evaluation  of  the  patient  with  achalasia  includes  a  barium  swallow,  esophageal  motility  study,  and  upper  endoscopy.  For  atypical  presentations,  a  CT  scan  is  often  added  to  rule  out  extrinsic  compression  of  the  distal  esophagus  by  tumor,  aortic  aneurysm,  or  pancreatic  pseudocyst.  These  entities  may  mimic  the  endoscopic  and  radiologic  findings  of  achalasia  and  are  therefore  called  pseudoachalasia.  A  Nissen  fundoplication  that  is  too  tight  can  create  pseudoachalasia  as  well.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1162530049
ER  -