There is a small risk of perforation during the myotomy.

The Heller myotomy is used as a final treatment option in patients who do not respond to other therapies.

The Heller myotomy is a long-term treatment, and many patients do not require any further treatment.

A common example of a myotomy is the Heller myotomy.

Very occasionally the myotomy was incomplete and projectile vomiting continues, requiring repeat surgery.

Heller myotomy helps 90% of achalasia patients.

Surgical myotomy provides greater benefit than either botulinum toxin or dilation in those who fail medical management.

Smith underwent a surgical procedure called a Heller myotomy which helped somewhat, but he still has dietary restrictions that force him to eat very slowly.

However, some will eventually need esophageal dilatation, repeat myotomy (usually performed as an open procedure the second time around), or esophagectomy.

In 1839, Dieffenbach performed the first successful myotomy for the treatment of strabismus on a seven-year old boy with esotropia.

Botox injections cause scarring in the sphincter which may increase the difficulty of later Heller myotomy.

Many other treatments are available, including hyoid bone myotomy and suspension and various radiofrequency technologies.

Pneumatic dilatation causes some scarring which may increase the difficulty of Heller myotomy if the surgery is needed later.

The myotomy is a lengthwise cut along the esophagus, starting above the LES and extending down onto the stomach a little way.

Most recommended fundoplication along with Heller's myotomy is Dor's fundoplication.

Marginal myotomy of levator palpebrae muscle can reduce the palpebral fissure height by 2-3 mm.

Modern Heller myotomy is normally performed using minimally invasive laparoscopic techniques, which minimize risks and speed recovery significantly.

Food can easily pass downward after the myotomy has cut through the lower esophageal sphincter, but stomach acids can also easily reflux upward.

The patient was treated with myotomy of the medial head of the gastrocnemius muscle and concomitant endarterectomy of the popliteal artery.

A Heller myotomy involves an incision to disrupt the LES and the myenteric plexus that innervates it.

The esophagus is made of several layers, and the myotomy only cuts through the outside muscle layers which are squeezing it shut, leaving the inner muscosal layer intact.

Certain medications or Botox may be used in some cases, but more permanent relief is brought by esophageal dilatation and surgical cleaving of the muscle (Heller myotomy).

Specific procedures have been more fully evaluated, specifically esophageal fundoplication for the treatment of gastroesophageal reflux and Heller myotomy for the treatment of achalasia.

When there is a more severe upper lid retraction or exposure keratitis, marginal myotomy of levator palpebrae associated with lateral tarsal canthoplasty is recommended.

The esophagus should be checked every year or two with a timed barium swallow because some may need pneumatic dilatations, a repeat myotomy, or even esophagectomy after many years.