Heller myotomy

Heller Myotomy

Heller myotomy (pronounced: hell-er my-ot-o-my) is a surgical procedure used to treat achalasia, a disorder that affects the ability of the esophagus to move food into the stomach. The term "myotomy" originates from the Greek words "myo" meaning muscle, and "tomy" meaning cutting. The procedure is named after Ernst Heller, a German surgeon who first performed the operation in 1913.

Procedure

During a Heller myotomy, the surgeon cuts through the thickened muscle of the lower esophagus to alleviate the difficulty in swallowing. This procedure can be performed either through an open surgery or a minimally invasive technique known as laparoscopy. The latter is more commonly used due to its quicker recovery time and less post-operative discomfort.

Indications

Heller myotomy is primarily indicated for patients with achalasia who have not responded to non-surgical treatments such as botulinum toxin injections, pneumatic dilation, or medications. It may also be considered for patients with other esophageal motility disorders.

Risks and Complications

As with any surgical procedure, Heller myotomy carries potential risks and complications. These may include infection, bleeding, and damage to surrounding organs. A common complication specific to this procedure is gastroesophageal reflux disease (GERD), which can occur if the lower esophageal sphincter is cut too much during the operation.

Postoperative Care

After a Heller myotomy, patients are typically placed on a liquid diet for a few days before gradually reintroducing solid foods. Medications to control acid reflux may also be prescribed. Regular follow-up appointments are necessary to monitor the patient's progress and manage any potential complications.

Related Terms

• Achalasia
• Esophagus
• Stomach
• Laparoscopy
• Gastroesophageal reflux disease (GERD)

External links

• Medical encyclopedia article on Heller myotomy
• Wikipedia's article - Heller myotomy

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