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Surgery Helps Achalasia Patients Feel Better Long Term

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Heller myotomy for esophageal achalasia Outcomes in 1010 patients with longitudinal follow-up.DOI 10.1016j.jtcvs.2025.06.011

Achalasia is a rare condition where the food pipe (esophagus) has trouble moving food down into the stomach. This makes swallowing hard and can lead to chest pain or weight loss. Surgery called Heller myotomy is one of the main treatments. A new study followed over 1,000 patients who had this surgery to see how well it worked over many years.

Most people in the study had the surgery done using small cuts and cameras (minimally invasive). Many also had a small wrap (called Dor fundoplication) added to help stop acid reflux. The doctors checked how well patients could swallow and whether they needed any more treatment later.

After 10 years, 3 out of 4 people did not need another treatment. Only a few needed major surgery like removing the esophagus. Most people still had relief from severe swallowing problems 10 years after the operation.

Some people did need more treatments, especially in the first year. If a person needed one extra treatment, they were more likely to need others. About half of the patients still had good movement of food through their esophagus one year after surgery, but this became less common over time.

Doctors recommend seeing your care team every year for the first few years after surgery. If things stay stable, checkups can happen less often. The results of this study show that Heller myotomy helps many people with achalasia live more comfortably for a long time.

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Dr Harsh Shah - GI & HPB Oncosurgeon in Ahmeadbad
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