Laparoscopic Heller Cardiomyotomy and Dor Fundoplication for Esophageal Achalasia

Abstract
WHEN pneumatic dilation of the lower esophageal sphincter (LES) is contraindicated or poor results are anticipated or the procedure fails to relieve the patient's symptoms, surgery should be considered for the treatment of esophageal achalasia.1-4 Transabdominal cardiomyotomy, first described by Heller in 1914,5 offers satisfactory results in approximately 95% of patients with achalasia.6