Heller’s cardiomyotomy done for:
Correct Answer: Achalasia
Description: Ref. API Textbook of Medicine. Pg. 1099
Management of achlasia cardia
1st line: calcium channel blockers
2 nd line: Pneumatic dilatation
3rd line: surgery -Hellers cardiomyotomy - it involves cutting the lower oesophgus and cardia.
The major complication is Gastroesophageal reflux and therefore additional Partial anterior fundoplication is done H(ellers -Dorr operation)
Botulinum toxin injection is used in recurrent cases of achalasia cardia
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