Heller Myotomy with Dor Fundoplication Animation for the Treatment of Achalasia

>> YOUR LINK HERE: ___ http://youtube.com/watch?v=eXOczua7Acw

In patients suffering from achalasia, the LES (lower esophageal sphincter) remains abnormally closed preventing food and liquids from easily passing into the stomach, especially given weak or even absent esophageal peristalsis. Food is essentially falling by gravity after swallowing. Given the delay in food passage into the stomach, the lower esophagus dilates. Symptoms stem from food failing to clear the LES leading to food regurgitation, difficulty swallowing, and even chest pain. Interestingly, achalasia symptoms are often confused with reflux. • Should conservative medical management fail to resolve symptoms, a Heller myotomy can be performed to widely open the LES by incising it in order to make it easier for food to fall into the stomach. Esophageal peristalsis is not able to be restored but resistance to food passage can at least be reduced surgically. Because the LES is wide open afterwards, the patient is at risk for significant reflux. The Dor fundoplication or partial anterior stomach wrap, is a gentle way to minimize risk of reflux after a Heller myotomy. • This animation was created with Dr. Kevin Gillian at the Virginia Heartburn and Hernia Institute. https://virginiahernia.com • Actual surgical footage can be watched here: • • Heller Myotomy with Dor Fundoplicatio... • Reflux (0:21) • Achalasia (0:35) • Heller Myotomy (1:06) • Dor Fundoplication (1:28) • Balloon dilation treatment of achalasia: • Achalasia Treatment with Endoscopic B... • For more information on surgical reflux control: • https://www.FauquierENT.net/refluxsur... • For info on the Nissen Fundoplication or 260° stomach wrap: • • Nissen Fundoplication or Stomach Wrap... • For info on the Toupet Fundoplication or 270° stomach wrap: • • Toupet Fundoplication or 270° Stomach... • More info on reflux: • https://www.FauquierENT.net/lpr.htm • More info on medications to treat reflux: • https://www.FauquierENT.net/refluxmed... • Check out our online reflux store: https://www.FauquierENT.net/store_ref... • This video produced by Dr. Chris Chang: • https://www.FauquierENT.net • Still haven’t subscribed to Fauquier ENT on YouTube? ►► https://bit.ly/35SazwA • Animation by Nathan Devery • #achalasia #dysphagia #hellermyotomy #dorfundoplication #medicalanimation

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