Laparoscopic Heller Myotomy with Intraoperative Endoscopy

 

Authors: Alexander S. Rosemurgy, MD; Desiree V. Villadolid, BS; Donald P. Thometz, BA; Candice M. Kalipersad


Keyword(s): achalasia, Botox, contrast study, dysphagia, endoscopy, LES, LHM, motility study, TBS, thoracic esophagus

Video Uploaded By:
Alexander Steven Rosemurgy
Uploaded on
01/16/2010
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SAGES Member Discussion

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    Steven Schwaitzberg on Aug 11, 2010
    This is a very nice video with preop xray showing classic birds beak, well illustrated operative technique, and post films. The it even port closure technique thrown in for good measure
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    Kenneth Wilhelm on Aug 12, 2010
    Easy to follow and good visualization.
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    Sachin Kukreja on Aug 12, 2010
    Video was nicely edited and moderated. The correlation with both endoscopy and radiographs is especially nice to complete the presentation.
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    Thomas Eustis on Aug 15, 2010
    Excellent presentation. I am impressed by how much better the visualization is from the subxiphoid port. The presenter commented that an anti-reflux procedure was not done because of the precision of the myotomy. Is there data to suggest that a precise myotomy reduces the incidence of post-Heller GERD, despite the (intentional) incompetence of the LES? Either way, this will likely remain a controversy. This is a great video. Thank you for sharing it!

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