Open AccessWhat to do when Heller's myotomy fails? Pneumatic dilatation, laparoscopic remyotomy or peroral endoscopic myotomy: A systematic review
Author(s) -
Sonia Fernández–Ananín,
Albert Noguera Fernández,
Carmen Balagué,
David Sacoto,
Eduardo M. Targarona
Publication year - 2018
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_94_17
Subject(s) - medicine , achalasia , myotomy , surgery , observational study , heller myotomy , general surgery , esophagus
Surgical treatment of achalasia fails in 10%-20% of patients. The most frequent responsible cause is the performance of an incomplete myotomy at primary surgery. The treatment when the failure happens is not well defined. In this study, we review and evaluate the possible treatments to be carried out when surgical myotomy fails. We define its benefits and results, with the purpose of defining a therapeutic algorithm.