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March 18, 2026Journal of SurgeryOpen Access

The Evolving Role of Heller-Dor in the Poem Era

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Authors

FLFernando LisboaWFWenzel FreitasMBMaria Belarmino

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Overview

Retrospective analysis evaluates surgical outcomes in achalasia, suggesting effectiveness across varied megaesophagus degrees.

Key Points

  • To evaluate the effectiveness and safety of extended laparoscopic Heller myotomy combined with modified Dor fundoplication in achalasia patients.
  • Included 72 patients with achalasia treated in a university hospital and a private clinic.
  • Underwent extended esophageal myotomy and two-row modified Dor fundoplication.
  • Symptom severity assessed using pre- and postoperative Eckardt scores.
  • Follow-up conducted clinically and endoscopically for up to 45 months.
  • Preoperative dysphagia reported in 79% of patients; mean Eckardt score decreased from 5.98 to 0.52 postoperatively.
  • A success rate of 98.6% with only one patient meeting therapeutic failure criteria.
  • No mortality reported during the follow-up period.
  • No symptoms of gastroesophageal reflux reported in any patients.

Cite This Study

Lisboa et al. (2025) studied this question.

synapsesocial.com/papers/69ba424e4e9516ffd37a27adhttps://doi.org/10.11648/j.js.20251306.12
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