Achalasia Cardia is the failure of (LES) lower esophageal sphincter to relax and let the food pass down to the stomach which leads to difficulty in swallowing food. It makes hard to pass the food and liquid into the stomach.
The most commonly used to treat achalasia because esophageal dilatation was the least invasive therapy and provided long-term relief for a subset of patients. Laparoscopic modified Heller myotomy has become the standard of care for palliation of this incurable but benign oesophageal disease.
Laparoscopic Heller Myotomy is a type of surgical technique cutting the lower esophageal sphincter to allow the passage of liquids and foods from the esophagus to the lower digestive tract. And unlike the conventional method of doing it, the laparoscopic technique is a minimally invasive technique.
In rare cases, a repeat myotomy may be ordered and sometimes, even esophagectomy. However, the myotomy will have to be performed through open surgical method on the second operation and Laparoscopic Heller's Myotomy will be difficult in repeat due to adhesion and fibrosis. Sometimes if surgery is not possible the injection of botulinum toxin probably with recurrent aspiration pneumonia.
