Outcomes of Laparoscopic Heller Myotomy for Achalasia: 22-Year Experience

Introduction Laparoscopic Heller Myotomy is the most effective treatment of achalasia. We examined the durability of symptomatic relief, with and without fundoplication. Methods A single institution database between 1995 and 2017 was reviewed. Achalasia symptom severity was assessed by Eckardt score...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2020-06, Vol.24 (6), p.1411-1416
Main Authors: Costantino, Christina L., Geller, Abraham D., Visenio, Michael R., Morse, Christopher R., Rattner, David W.
Format: Article
Language:English
Subjects:
Deglutition Disorders - surgery
Dysphagia
Esophageal Achalasia - surgery
Esophagus
Fundoplication
Gastroenterology
Gastroesophageal reflux
Gastrointestinal surgery
Heller Myotomy
Humans
Laparoscopy
Medicine
Medicine & Public Health
Motility
Performance evaluation
SSAT Quick Shot Presentation
Surgery
Surgical outcomes
Thoracic surgery
Treatment Outcome
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Summary:Introduction Laparoscopic Heller Myotomy is the most effective treatment of achalasia. We examined the durability of symptomatic relief, with and without fundoplication. Methods A single institution database between 1995 and 2017 was reviewed. Achalasia symptom severity was assessed by Eckardt scores (ES) obtained at 3-time points via patient questionnaire. Primary outcome was treatment success defined as ES of <  3. Results Completed surveys were returned by 130 patients (median follow-up of 6.6 years). A partial fundoplication was performed in 86%. At both 1-year and late follow-up, patients reported a significant improvement in ES compared to baseline ( p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-020-04586-7