Cardiomyotomy for achalasia

LAPAROSCOPIC HELLER PROCEDURE (HELLER'S MYOTOMY)


Keyhole surgery to correct problems with swallowing

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What is achalasia?

Achalasia is a rare disorder of the food pipe (oesophagus), which can make it difficult to swallow food and drink.

In extreme instances, where food cannot enter the stomach, food and drink is often brought back up. Minimally invasive keyhole surgery is used to correct the condition.

Need to know

Under general anaesthesia, five small keyhole cuts are made on the abdomen and a tiny camera and instruments are inserted. The lower part of the food pipe is approached and a lengthwise cut is made in the muscle layer.

Care is taken to cut only the muscle layer, leaving the inner lining of the food pipe intact. As this procedure is often complicated by acid reflux after the operation, a partial or complete fundoplication (a procedure to correct acid reflux) is also performed at the same time to minimise this. The cuts in your abdomen will be repaired using dissolvable stitches.

As you'll be given a general anaesthetic you'll be advised not to eat or drink at least 24 hours before your procedure. Your consultant will explain the details of the procedure to you and answer any questions you may have.
You'll be expected to stay overnight in hospital for observation. You'll be able to resume normal after about a week of rest. Eating food should become more comfortable soon after surgery and a near-normal diet should become normal.
Hospital stay and procedure

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{{EntityName}} Consultants

Mr Khaled Dawas

Mr Khaled Dawas

General Surgery

Professor Ameet G Patel

Professor Ameet G Patel

General Surgery

Mr Ewen Griffiths

Mr Ewen Griffiths

General Surgery

Mr Paul Goldsmith

Mr Paul Goldsmith

General Surgery

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Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.