Abstract
inimal-access surgery permits many older, tested procedures to be performed in new and better ways that make the operations less painful and more accurate and that reduce hospital stays and disability. These features make it reasonable to reassess the relative indications for surgery and nonsurgical therapy in achalasia of the esophagus. Achalasia comes from a Greek word that means “failure to relax.” Cardiospasm and achalasia refer to the same condition (1, 2). This report addresses esophageal achalasia—its history, diagnosis, pathophysiology, and treatment options. We report our initial experience in treating this disorder surgically using laparoscopic-modified Heller myotomy combined with partial gastric fundoplication.
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