A case report demonstrates successful laparoscopic Heller’s myotomy in an 81-year-old male with hypercontractile oesophagus, implying new insights into surgical therapy.
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.
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Vinoth et al. (2025) studied this question.
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