Long-term outcomes confirm the superior efficacy of extended Heller myotomy with Toupet fundoplication for achalasia

Abstract
The standard Heller myotomy (SM) for achalasia extends 1 to 2 cm on to the stomach. The authors perform an extended myotomy (EM) (>3 cm) with the goal of reducing postoperative dysphagia. This study examines the long-term efficacy and durability of EM compared with SM.