Myotomy

Heller myotomy is a surgical procedure in which the muscles of the lower esophageal sphincter or “LES” are cut, allowing food and liquids to pass to the stomach. It is used to treat “achalasia” which is a rare disorder of the smooth muscle of the esophagus, the food pipe leading from your mouth to your stomach. Where your esophagus meets your stomach there is a ring-like “gateway” muscle called the lower esophageal sphincter (LES).Heller Myotomy

Normally, when you’re not swallowing, the LES stays closed to keep food, liquid and stomach acid from flowing back up into your esophagus. When you do swallow, nerve signals tell the muscles of the esophagus to contract and push food down its tube (an action called peristalsis); these same signals tell the LES to open. If you have achalasia, the nerve cells in the lower esophageal and the LES don’t work properly. A Heller myotomy can be performed through minimally invasive techniques, robotically or laparoscopically. Ask your surgeon if you are a candidate.

After Heller Myotomy

Patients having Heller Myotomy typically stay in the hospital 1-2 days. They have a small tube in their nose draining fluid and gas from your stomach. When the tube is removed (usually same day or surgery if early or the next day), the patient is then started on liquids. They usually have a PCA for pain which is transitioned to oral pain m=medications when the tube is removed. Patients are encouraged to be out of bed and walk as much as possible. Patients will follow a specific diet after a Heller myotomy which will be provided by the surgeon.

Saint Barnabas Medical Center
94 Old Short Hills Road
Livingston, NJ 07039
(973) 322-5000
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Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740
(732) 222-5200
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The Unterberg Children's Hospital at Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740
(732) 923-7250
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Monmouth Medical Center Southern Campus
600 River Avenue
Lakewood, NJ 08701
(732) 363-1900
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Clara Maass Medical Center
1 Clara Maass Drive
Belleville, NJ 07109
(973) 450-2000
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Community Medical Center
99 Highway 37 West
Toms River, NJ 08755
(732) 557-8000
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Newark Beth Israel Medical Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
(973) 926-7000
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Children's Hospital of New Jersey at Newark Beth Israel Medical Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
(973) 926-7000
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Barnabas Health Ambulatory Care Center
200 South Orange Avenue
Livingston, NJ 07039
(973) 322-7000
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Jersey City Medical Center
355 Grand Street
Jersey City, NJ 07302
(201) 915-2000
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Rutgers Robert Wood Johnson Medical Group at Monroe
800 Bunn Drive
Suite 303
Princeton, NJ 08540
(609) 655-5178
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The Bristol-Myers Squibb Children's Hospital at RWJUH
200 Somerset Street
New Brunswick, NJ 08901
(732) 828-3000
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RWJ University Hospital Hamilton
1 Hamilton Health Place
Hamilton, NJ 08690
(609) 586-7900
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RWJ University Hospital New Brunswick
1 Robert Wood Johnson Place
New Brunswick, NJ 08901
(732) 828-3000
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RWJ University Hospital Rahway
865 Stone Street
Rahway, NJ 07065
(732) 381-4200
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RWJ University Hospital Somerset
110 Rehill Avenue
Somerville, NJ 08876
(908) 685-2200
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