What does Cardiomyotomy mean?

(kăr″dē-ō-mī-ŏt′ō-mē) Surgical therapy for achalasia. The muscles surrounding the cardioesophageal junction are cut, while the underlying mucous membrane is left intact.

What is a laparoscopic Cardiomyotomy?

This is an operation for achalasia of the cardia, a condition in which the muscle in the lower oesophagus fails to relax and therefore hinders the passage of food and fluid into the stomach.

What is toupet fundoplication surgery?

Laparoscopic Toupet fundoplication is a surgical procedure performed for the treatment of GERD. The procedure strengthens the valve between the esophagus and the stomach, preventing the backflow of acid.

What is fundoplication surgery used for?

Fundoplication is a surgical procedure used to treat stomach acid reflux. During fundoplication, the top part of your stomach — called the fundus — is folded and sewn around the lower esophageal sphincter, a muscular valve at the bottom of your esophagus.

Is Heller myotomy successful?

Conclusion: LHM is associated with an 80% long-term success rate. Successful LHM may be predicted by high LESP, no prior therapy, short symptom duration, or absence of sigmoidal esophagus.

How long does Heller myotomy take?

A Heller myotomy will typically take 3 to 4 hours to complete. This procedure is typically performed in the cardiothoracic operating room (OR). Check with your doctor about the details of your procedure.

What is the difference between Nissen and Toupet fundoplication?

Laparoscopic Nissen fundoplication (LNF) is the most common surgical procedure for the surgical management of gastro-esophageal reflux disease (GERD). Laparoscopic Toupet fundoplication (LTF) has been reported to have a lower prevalence of postoperative complications yet still obtain a similar level of reflux control.

Can you vomit after Toupet fundoplication?

Many surgeons will tell their patients that after a fundoplication surgery for GERD or hiatal hernia repair that they will never be able to vomit or belch again.

What are the side effects of fundoplication?

Mechanical side effects of total fundoplication may lead to a functional obstruction in the gastroesophageal junction and to an inability to vent air from the stomach[12]. As a result, we observed common postoperative side effects including inability to belch, abdominal bloating, and increased flatulence.

How long does a fundoplication last?

The surgeon is guided by images transmitted from a lighted camera in the laparoscope inserted through one of the incisions. Laparoscopic Nissen fundoplication is performed under general anesthesia in an operation room. The procedure may take up to three hours.

Is Heller myotomy major surgery?

Open Heller myotomy is major surgery with a long recovery period. It also carries a risk of esophagus rupture (perforation) during the surgery.

Is Heller myotomy painful?

You will be placed under general anesthesia and will feel no pain. Your doctor will make several small incisions in your abdominal wall and will insert laparoscopic tools.

Is Toupet fundoplication effective?

The Toupet fundoplication or 270-degree wrap is equally effective in controlling GERD but tends to fall apart with time due to lack of strong serosal adhesions between the two edges of the wrapped gastric fundus.

Can you burp after a Toupet fundoplication?

Conclusion: After fundoplication, patients do not belch as a result of gastro-oesophageal gas reflux; rather it may be due to oesophagopharyngeal reflux of swallowed air. Subjective reporting of belching ability is inaccurate and manometric measurement of common cavities provides a better means of assessment.

What happens during a fundoplication surgery?

For a fundoplication, the surgeon will gather the uppermost part of the stomach, called the fundus, and gently wrap and suture it around the lower esophageal sphincter. This helps increase pressure in the esophagus and make acid reflux less likely.

Do you need a gastrostomy tube after fundoplication?

You may need to receive food through a gastrostomy tube. This may be the case for some time after a fundoplication. Your doctor will give you instructions for use, and you’ll likely get supplies and food sent to your home. You may not need the tube after a few weeks.

Are partial fundoplications effective for the treatment of gastro-esophageal reflux?

In the past, the absence of good long-term outcome studies led many surgeons to apply a selective approach to the use of partial fundoplications for the surgical treatment of gastro-esophageal reflux, with the Nissen fundoplication widely accepted as the “gold standard” and the expectation that partial wraps would have a compromised success rate.

What is the difference between a Watson fundoplication and open surgery?

Watson fundoplication (180 degree): A Watson fundoplication only wraps the fundus around half of the esophagus. This may cause fewer side effects than other fundoplication procedures. As a laparoscopic surgery, fundoplication generally has a better recovery time than open surgery.