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Laparoscopic Cardiomyotomy for Achalasia Cardia
Achalasia is a primary esophageal motility disorder of unknown origin, characterized by lack of esophageal peristalsis and failure of the lower esophageal sphincter to relax appropriately. Now laparoscopic treatment is considered the treatment of choice over endoscopic dialatation. It gives long lasting results with minimum recurrance.
Advantages of Surgical treatment over Endoscopic dialatation:
- Good relief from symptoms from a single sitting laparoscopic surgery.
- Low risk of complications.
- Good long term results.
Achalasia Cardia, also known as oesophageal achalasia or often referred to simply as achalasia, is a basically a failure of lower esophageal sphincter to relax properly when food is entering from food pipe into stomach. There may be increased tension in lower oesophageal sphincter and decreased peristalsis of oesophagus (peristalsis – movement of gut to push food forward)
Causes of Achalasia Cardia -
Primary Achalasia – In most cases no cause can be determined and hence are classified as primary type. There is failure of distal esophageal inhibitory neurons.
Secondary Achalasia – Some patients may have underlying condition like cancer of food pipe, Chagas disease (an infectious disease), Triple A syndrome etc.
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Symptoms of Achalasia Cardia-
The signs and symptoms of achalasia develop insidiously, and patients may present with complaints of acidity or indigestion since the burning sensation after meals can be similar to what is experienced with heartburn or acidity.
The most common symptoms of achalasia are:
- Challenges in swallowing both solid and liquid foods
- A sensation of food sticking in the throat
- Regurgitation of undigested food
- Chest pain or discomfort after eating
- Unexplained weight loss
- Cough, especially at night
- Difficulty in finishing meals due to inability to swallow
Heller’s Cardiomyotomy for Achalasia in Jalandhar, Punjab
Looking for Heller’s Cardiomyotomy for achalasia in Jalandhar? Then Star Hospital might be an excellent option. Eating should not be a hard effort, but people suffer from a condition termed achalasia, where swallowing food can become difficult. Foods may feel like they get stuck in the chest, and undigested food may be thrown up after a meal. Such symptoms can be debilitating and impact nutrition, lifestyle, and the overall quality of life.
Star Hospital, Jalandhar offers consultation for achalasia, and Dr. Jasmeet Singh Ahluwalia can discuss the different treatment options available for Heller’s cardiomyotomy in Jalandhar.
Diagnosis Before Achalasia Treatment in Jalandhar
- Achalasia treatment in Jalandhar begins with investigations to evaluate the oesophagus and how well it is able to propel food down to the stomach.
- Upper GI Endoscopy: This procedure is done to examine the oesophagus and the stomach. It is also useful in ruling out other causes that can impact swallowing ability.
- Barium Swallow Test: In this test, the patient is asked to swallow a contrast solution, and X-ray images are taken to assess whether there is any collection of fluid in the oesophagus above the lower oesophageal sphincter.
- Oesophageal Manometry: This test measures the muscle contractions of the oesophagus and the function of the lower oesophageal sphincter. It is one of the most important tests in diagnosing achalasia.
- These tests assist the specialist in evaluating the extent of damage and impact of achalasia on the normal function of the oesophagus. They also help in choosing the most suitable treatment approach.
- Treatment Options for Achalasia: The treatment options for achalasia target the valve mechanism at the lower oesophageal sphincter and aim to reduce its resistance to allow free passage of food down the oesophagus. The different treatment modalities include:
- Pneumatic Balloon Dilation: This technique uses a special balloon to dilate the lower oesophageal sphincter and reduce its resistance. However, it is not a permanent solution and repeat dilation may be needed after some time.
- This method is usually quite effective, but it carries a risk of oesophageal perforation, and the patient should have a detailed discussion with the surgeon to understand the benefits and risks.
- Peroral Endoscopic Myotomy (POEM): This endoscopic procedure involves division of specific muscle fibres in the lower oesophageal sphincter to reduce the pressure. It is an established treatment for achalasia, but the risk of developing acid reflux after the procedure is quite high.
- Botulinum Toxin Injection: An injection of botulinum toxin into the lower oesophageal sphincter can also be considered. It helps in relaxing the valve mechanism, but it may not be long-lasting, and the effects usually fade away within a few months.
- Heller’s Cardiomyotomy: Heller myotomy involves division of the valve mechanism at the lower oesophageal sphincter to allow free movement of food down the oesophagus and into the stomach. It is a surgical procedure that can offer quite lasting relief from the symptoms of achalasia.
- Heller myotomy and POEM are the two main surgical procedures used for treating achalasia. Pneumatic balloon dilation is another alternative treatment. The choice of treatment depends on the patient’s condition and the recommendations of the surgeon.
Achalasia Cardia Educational Videos
Achalasia Cardia Treatment Cost |
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| Achalasia Cardia Cost | Details | ||
| Cost of Achalasia Cardia | 1,00,000 Rs to 1,25,000 Rs INR | ||
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| Working Days | Monday – Saturday | ||
| Mobile Number | +91-9888958889 | ||
Tests of Achalasia Cardia-
Barium Swallow X-ray – Multiple X-rays are done after giving contrast material to patient to swallow and its passage is checked by doing X-rays a few times. Contrast will not pass normally and food pipe is seen dilated in cases of achalasia cardia.
Esophageal manometry – This test measures the pressure of food pipe. Pressure of lower oesophageal sphincter is seen abnormally high or is seen not to relax in response to swallow as it should normally and pressure in food pipe may be seen low or its peristalsis may be abnormal.
Treatment of Achalasia Cardia-
Surgery – Laparoscopic Heller’s Cardiomyotomy is the gold standard treatment for achalasia cardia which is quite safe and gives best long term relief from symptoms. Since it’s done with key hole method, recovery is very fast and relief of symptoms happens very quickly. Muscles of tight sphincter as well as some surrounding muscles are split open to relieve the spasm which allows easy passage of food. Along with that, a fundoplication is added which prevents reflux of acid and food back into food pipe after surgery.
Balloon Dilatation – By doing endoscopy (inserting a flexible scope from mouth) muscle fibers are stretched and slightly torn by forceful inflation of a balloon placed inside the lower esophageal sphincter. There is always a small risk of a perforation during this procedure and many patients may require repeated sittings. The fibrosis resulting from this procedure make laparoscopic surgery later more difficult.
Medicines of Achalasia Cardia-
Certain drugs may be useful but their action is often short lived and they many a times cause unpleasant side effects in patients limiting their role in achalasia cardia.
Disclaimer : – Results may vary from person to person
Achalasia Cardia Patients Testimonials
Frequent Questions - FAQ's
No, this condition cannot be cured. but you can control this with treatment. it is not a common swallowing disorder that affects every 100,000 people. the major symptom of achalasia is mostly difficulty with swallowing.
Avoid meats, hard bread crusts, and abrasive foods. Take small bites and chew food well. sip any fluids when you taking any solid meals and snacks to moisten foods.
yes, people can live with it but if they cannot treat it early then they cannot live. Achalasia is a rare and uncommon disorder. It can take years to grow, and some people ignore the symptoms for years before they go to a doctor. Although the condition can’t be cured, treatment will help you live with it.
