Redo-myotomy for Recurrent Achalasia After Open Left Thoracic Myotomy

Ryan C Broderick, MD1, Cristina R Harnsberger, MD1, Joshua Langert, MD1, Hans F Fuchs, MD1, Cristopher DuCoin, MD1, Moneer Almadani, MD1, Byran J Sandler, MD1, Garth R Jacobsen, MD1, Estuardo Behrens, MD2, Santiago Horgan, MD1. 1University of California San Diego, Department of Surgery, Division of Minimally Invasive Surgery, 2New Life Center Guatamala

Recurrent achalasia after a prior myotomy can be a challenge, particularly when surgical intervention is necessary. We present a case of a redo-myotomy following a previously performed open left thoracic myotomy. The patient is a 56 year old male with a history of achalasia managed with an open left thoracic myotomy and reported fundoplication 30 years ago. He had symptoms of dysphagia with workup confirming recurrence of his achalasia. Despite his prior open myotomy, we demonstrate the successful approach to a minimally invasive anterior myotomy with fundoplication for treatment of his disease.

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