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	<title>Esophageal Conditions and Treatments | UCLA Center For Esophageal Disorders - Los Angeles, CA</title>
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					<td width="33%" height="28" valign="middle" style="padding-left:20px;font-size:10px;">Tue Nov 24, 2009</td>					<td width="33%" align="center" valign="middle">
						
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												<h1 class="pagetitle" id="pagetitle"><strong>Esophageal Conditions and Treatments</strong></h1>
											
										
										
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			<b>Esophageal Treatments</b><hr>
		
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						<div class="metadetail"><b>Laparoscopic Heller Myotomy</b></div>
					
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			<h2>Laparoscopic Heller Myotomy</h2>
			<p><strong>What is a Laparoscopic Heller   Myotomy? <a href="workfiles/treatments/procedure_lap_myotomy.pdf" target="_blank">PDF Version</a></strong><br />
    A Laparoscopic Heller Myotomy is done in patients   who are being treated for achalasia. The surgery is done through the abdomen.   Five small incisions 5 mm a piece are placed on the abdominal wall. A small   camera is placed through one of the incisions and surgical instruments are   placed through the other four. The muscle of the valve that is between the   esophagus and stomach is cut. The top of the stomach is then placed over the top   of the cut edge. This will allow for easier passage of food from the esophagus   into the stomach.</p>
<p><strong>Will I need to have   anesthesia?</strong><br />
    Yes.</p>
<p><strong>How long will it   last?</strong><br />
    The surgery takes about 2 hours.</p>
<p><strong>Will anything be removed,   replaced, etc?</strong><br />
    No.</p>
<p><strong>Where will the incision(s) be   made?</strong><br />
    Five small incisions, 5 mm in diameter will be made on   the abdominal wall.</p>
<p><strong>Will any sutures/staples be   implanted and will they need to be removed?</strong><br />
    Permanent sutures   will be used to hold the stomach on top of the esophagus.</p>
<p><strong>Will I have any tubes or drains   after surgery?</strong><br />
    Yes, you will have a small tube coming out of   your nose that drains the fluid in your stomach overnight. It will be removed   the first day after surgery.</p>
<p><strong>Will I have any tubes or drains   after surgery?</strong><br />
    Yes, you will have a small tube coming out of   your nose that drains the fluid in your stomach overnight. It will be removed   the first day after surgery.</p>
<p><strong>How long is the stay in the   hospital?</strong><br />
    You will need to stay over night in the hospital   one to two nights.</p>
<p><strong>How long before I will be eating   solid foods?</strong><br />
    For the first week after surgery you will be   drinking liquids only. In the second week you will start to eat soft foods. By   the third week you can eat a normal diet.</p>
<p><strong>How long before I am back to my   normal levels of exercise?</strong><br />
    It is recommended that you refrain   from strenuous activities and heavy lifting for about 2 weeks. You may return to   work after 1 week if your work does not require heavy lifting or strenuous   activities.</p>
<p><strong>When will I be back to my normal   routine?</strong><br />
    Usually by 1 month you can return to your normal   routine. </p>
<p><strong>What follow up is   necessary?</strong><br />
    A follow up visit 2 weeks and 3 months after   surgery is necessary.</p>
<p><strong>How will this affect my life in   the long-term? </strong><br />
    You will have no long-term changes in your   lifestyle.</p>
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