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Heller Myotomy

What is a Heller Myotomy?

A Heller myotomy is a surgical procedure used to treat a condition called achalasia, which affects the esophagus and impairs its ability to move food into the stomach. The surgery involves cutting the muscles of the lower esophagus to relieve the obstruction and improve the passage of food. By reducing the muscle tension, the procedure helps alleviate symptoms such as difficulty swallowing, chest pain, and regurgitation.

When is a Heller Myotomy Needed?

Heller myotomy is typically recommended when other treatments for achalasia, such as medications or dilation, have not been effective. It is often considered when:

Severe Difficulty Swallowing: When symptoms significantly impact daily life and swallowing is extremely difficult.

Failed Non-Surgical Treatments: When medications or endoscopic balloon dilation have not provided relief.

Persistent Symptoms: When symptoms persist despite other treatments or recur after initial improvement.

Procedure Overview

Heller Myotomy is typically performed laparoscopically, meaning it is a minimally invasive procedure that uses small incisions and a camera (laparoscope) to guide the surgery. The surgeon cuts the muscles at the lower esophageal sphincter to relieve pressure and allow food to pass into the stomach more easily. The procedure usually takes 1-2 hours and is performed under general anesthesia. To reduce the risk of acid reflux after the surgery, a partial fundoplication (wrapping part of the stomach around the esophagus) may be done at the same time.

Recovery and Results

Recovery from Heller Myotomy is generally quick due to the minimally invasive nature of the procedure. Most patients can return to normal activities within a week or two, though they may need to follow a special diet for the first few days after surgery, starting with liquids and gradually reintroducing solid foods. Pain after surgery is usually minimal and can be managed with over-the-counter medications. The majority of patients experience significant relief from their symptoms and improved swallowing after the procedure.

Schedule a Consultation

If you are experiencing symptoms of achalasia or have been diagnosed with an esophageal motility disorder, Heller Myotomy may be the right treatment for you. Contact Texas Advanced Surgical & Bariatrics today to schedule a consultation. Our expert team is here to provide comprehensive care and advanced treatment options to help restore your ability to swallow comfortably.

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