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Case report

Year :2025 Month : July-August Volume : 14 Issue : 4 Page : SC01 - SC03 Full Version

Laparoscopic Heller’s Myotomy for Hypercontractile Oesophagus: A Case Report


M Vinoth, Abhijit S Joshi
1. Clinical Assistant, Department of General and Advanced Laparoscopic Surgery, Dr. L. H. Hiranandani Hospital, Mumbai, Maharashtra, India. 2. Consultant, Department of General and Advanced Laparoscopic Surgery, Dr. L. H. Hiranandani Hospital, Mumbai, Maharashtra, India.
 
Correspondence Address :
M Vinoth,
Hillside Avenue, Powai, Mumbai-400076, Maharashtra, India.
E-mail: vinuvishnu93@gmail.com
 
ABSTRACT

: The oesophageal motility disorder is a wide range of diseases, extending from acontractile to Hypercontractile Oesophagus (HE), each having a unique pathophysiology. Hence, their management is also individualised. However, a rare subset of this disorder, namely, a HE, presents a management conundrum. There is no evidence of superiority of one treatment modality over the other within the spectrum of available treatment modalities, such as pharmacological, endoscopic, and surgical therapy in view of symptomatic relief and chances of recurrences. Hereby, the authors present a case report of 81-year-old male patient of HE successfully managed by laparoscopic Heller’s myotomy with Dor’s fundoplication. Over 20 postoperative months, the patient remains symptom-free.
Keywords : Dor’s fundoplication, Endoscopic therapy, Oesophageal motility disorder, Pharmacological therapy
DOI and Others : DOI: 10.7860/IJARS/2025/77592.3054

Date of Submission: Dec 30, 2024
Date of Peer Review: Mar 25, 2025
Date of Acceptance: Apr 26, 2025
Date of Publishing: Jul 01, 2025

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jan 03, 2025
• Manual Googling: Apr 23, 2025
• iThenticate Software: Apr 25, 2025 (7%)

ETYMOLOGY: Author Origin

EMENDATIONS: 5
 
 
 
 

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