We prefer extended cardiomyotomy (extending 2-3 cm to the gastric wall) with the aim of better and sustained resolution of dysphagia than the traditional cardiomyotomy (1-1.5 cm).
Objectives: To evaluate relief of dysphagia and appearance of reflux symptoms in patients of achalasia cardia treated with Tran's abdominal cardiomyotomy and anterior Dor patch.
(2,27,30) Reports following laparoscopic cardiomyotomy have shown that only preoperative LOS pressure has significant correlation with outcome of treatment.
Because surgeons view the cardia as the sphincter, they often inappropriately utilize the terms "cardiomyotomy" and "cardioplasty" to describe the surgical techniques that are used for treating, respectively, achalasia and gastroesophageal reflux disease.
All three group 2 patients who had unsatisfactory swallowing underwent Heller's cardiomyotomy while only one of the five elderly patients with unsatisfactory swallowing had a Heller's cardiomyotomy.