Management of end - stage achalasia with laparoscopic Heller myotomy: A case report.

ABSTRACT:

Introduction

Achalasia is a rare esophageal motility disorder causing dysphagia and weight loss. Severe cases may present with a significantly dilated and sigmoid-shaped esophagus (sigmoid achalasia). Traditionally, esophagectomy was used for such cases. However, laparoscopic Heller myotomy (LHM) is emerging as a less invasive alternative with comparable outcomes.

Case presentation

We present a 45-year-old male with a seven-year history of dysphagia, regurgitation, chest pain, and recent weight loss. Barium esophagogram, high-resolution esophageal manometry, and upper endoscopy confirmed severe achalasia with a sigmoid esophagus (Type I according to Chicago classification). Esophagectomy was considered, but due to the patient's age and the lack of prior treatment attempts, L

SUBMITTER: Pantoja Pachajoa DA 

PROVIDER: S-EPMC11570774 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature