Long-term outcome for achalasia in patients who underwent laparoscopic Heller myotomy with Dor fundoplication

Introduction: Achalasia is a rare esophageal motility disorder that can require surgical intervention in some cases. This re trospective cross sectional study aims to evaluate the clinical symptoms of patients with advanced achalasia who underwent laparoscopic Heller myotomy (LHM) and Dor fundoplication fundoplication. Materials and Methods: The study included ۸۶ patients (۳۸ men, ۴۸ women) diagnosed with achalasia between ۲۰۱۰ and ۲۰۲۰, of which ۲۰ patients with advanced achalasia underwent LHM and Dor f undoplication. The median follow up time was ۴۸ months Results: The study found that LHM and Dor fundoplication surgery improved dysphagia in ۱۲ patients, w ith four patients showing improvement in solid food dysphagia and two patients showing improvement in semi solid dysphagia. Nocturnal cough and slow emptying sensation also improved in ۱۶ cases. Additionally, barium stasis decreased significantly in ۱۴ pat ients. However, two patients who underwent esophagectomy had hospital mortality Conclusion: This study highlights the effectiveness of LHM and Dor fundoplic ation in reducing dysphagia, nocturnal coughing, regurgitation, and other obstructive symptoms in patients with advanced achalasia. However, the study also underscores the potential risks associated with esophagectomy, suggesting that surgical treatment fo r achalasia should be carefully considered on a case by case basis.

Keywords:

Achalasia Dysphagia , Heller myotomy Fundoplication Gastroesophageal reflux