Heller Myotomy with Dor Fundoplication Animation for the Treatment of Achalasia

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. virginiahernia...
Actual surgical footage can be watched here:
• Heller Myotomy with Do...
Reflux (0:21)
Achalasia (0:35)
Heller Myotomy (1:06)
Dor Fundoplication (1:28)
Balloon dilation treatment of achalasia: • Achalasia Treatment wi...
For more information on surgical reflux control:
www.FauquierEN...
For info on the Nissen Fundoplication or 260° stomach wrap:
• Nissen Fundoplication ...
For info on the Toupet Fundoplication or 270° stomach wrap:
• Toupet Fundoplication ...
More info on reflux:
www.FauquierEN...
More info on medications to treat reflux:
www.FauquierEN...
Check out our online reflux store: www.FauquierEN...
This video produced by Dr. Chris Chang:
www.FauquierEN...
Still haven’t subscribed to Fauquier ENT on TH-cam? ►► bit.ly/35SazwA
Animation by Nathan Devery
#achalasia #dysphagia #hellermyotomy #dorfundoplication #medicalanimation

[@fauquierent]

*Balloon dilation treatment of achalasia:* th-cam.com/video/lpOL7E1X6aQ/w-d-xo.html
*For great reflux-related care products:*
www.FauquierENT.net/store_reflux.htm

[@ladennayoung2939]

I thank the Lord for His knowledge and wisdom on this subject matter. I pray that anyone having this issue have the ability to swallow food and liquid properly again in the mighty name of Jesus. All IS well.

[@JB-mb6lm]

My cousin had this and he is 25. He had big problems swallowing and it was terrible for him. He had this operation done abt a month ago and he says he already feels normal again

[@fragrancejasmine323]

❤

[@sammqt]

I was diagnosed with this just last year at age 24 after 2 years of progressing dysphagia where I was told my reflux and discomfort would get better if I lost weight. 40 lbs down, a conversation with a surgeon I work with, and a few tests later I was officially given an answer. I have not gotten to the point of needing this yet but I probably will at some point. For now regular dilations and eating slower with smaller meals has helped.

[@SoutherRebelDoUFunDu]

Ladenna do u struggle with this issue?

[@salam7905]

thank you so much

[@maam5maam304]

Thank you to add Arabic language 👍🏻

[@user-ec1uy8jl3i]

Amaaazing thank you so much ❤

[@cloudstrife3799]

Masha Allah...
How Almighty Allah

[@varundurge]

Thanks allah for inventing hellers myotomy

[@motivationforlife123]

@@varundurge 🤣🤣🤣🤣

[@JB-mb6lm]

@@motivationforlife123 🤣🤣🤣🤣🤣🤣

[@toms5050]

He is just a fiction and nothing.

[@toms5050]

Your Allah is a fiction and he can't do nothing. Or you can show me something that Allah done in your book. I don't need your own lecture but it is from your book.

[@sandralumsden254]

Can a full endoscopy be carried out after a dor fundoplication? Or would the portion of the stomach covering the LES valve be missed?

[@SoutherRebelDoUFunDu]

That's a great question.