Esophageal Balloon-Assisted Laparoscopic Heller Myotomy for Achalasia

David L Webb, MD, Nathaniel Stoikes, MD, Ben Powell, MD, Guy R Voeller, MD. University of Tennessee Health Science Center Department of Surgery


Esophageal perforation is a well-known and feared complication of laparoscopic Heller myotomy. Most series report an esophageal perforation rate ranging from 1-7% during this procedure. Our video depicts a hybrid technique of video endoscopic esophageal balloon-assisted laparoscopic Heller myotomy that allows for minimal use of energy sources, exact visualization of both longitudinal and circular muscle layers, and in our series, has lead to no instances of esophageal perforation.

Session Number: SS21 – Videos: Solid Organ & Foregut
Program Number: V043

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