Achalasia surgery

Laparascopic surgery (Heller's myotomy) for achalasia is carried out under general anaesthetic. Each surgeon's approach may vary slightly, however they will follow these general steps:

• Make a small opening near your belly button and inflate your abdomen with gas.
• Insert small tubes into incisions in your abdomen, placing surgical instruments and a small telescope into the tubes, providing a clearer image of your abdomen on screen.
• Your surgeon will then cut the muscle at the lower end of your esophageal sphincter, allowing food/drink to pass more easily into your stomach.
• At the end of the procedure, they will remove the instruments and stitch your incisions.

Your consultant will explain the procedure and answer any questions you might have. You may have X-rays and endoscopic tests (tube with a camera on the end) to show clearer images of your oesophagus.

Due to the nature of achalasia, you will be advised on your food and drink intake before having laparascopic surgery. If you are taking medication, your consultant will also recommend whether or not to stop doing so before the procedure.

Patients normally stay in hospital between 1-2 days after laparoscopic surgery. Our clinical nurses will continue to monitor you during this time. If you experience pain and/or discomfort, they can provide you with medication.

Your consultant will let you know when you can get back to your usual routine. You should be able to return to work within two weeks of the procedure. During your recovery process, you should take extra care whilst eating and drinking, staying on soft foods for the first few days.