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September 5, 2025BMJ Case Reports

Paraoesophageal hernia causing recurrent dysphagia after Heller myotomy in achalasia

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Case report highlights the role of paraoesophageal hernia in recurrent dysphagia, suggesting the need for thorough assessment post-surgery.

Recurrent dysphagia resolved after addressing a paraoesophageal hernia, not achalasia recurrence.
Upper gastrointestinal imaging revealed a large paraoesophageal hernia that was not initially suspected.
Laparoscopic exploration confirmed the integrity of the original Heller myotomy, ensuring effective treatment.
This case emphasizes the importance of identifying structural complications in esophageal motility disorders.

Cambuli-Bianchi et al. (2025) studied this question.

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Case report highlights the role of paraoesophageal hernia in recurrent dysphagia, suggesting the need for thorough assessment post-surgery.