Heller myotomy is used in:: (A) Esophageal atresia, (B) Achalasia, (C) GERD, (D) None of the above
Answer is B. A laparoscopic Heller myotomy and paial fundoplication is the procedure of choice for esophageal achalasia. The operation consists of a controlled division of the muscle fibers (ie, a myotomy) of the lower esophagus (5 cm) and proximal stomach (2 cm), followed by a paial fundoplication to prevent reflux.