Achalasia cardia is very uncommon disorder which will cause patient very difficulty in swallowing food & drink. It doesnt simply fall by the food-pipe into the stomach. In achalasia cardia, two main problems were seen very commonly, first is inability of pumping action of the wall of food-pipe, second also loss of the ability of valve to relax in response to the approach of food; resulting in the ingested food & drink get collected in food-pipe and shows the symptoms of the blockage behind breastbone. The main cause of the achalasia is degeneration of nerve cells in esophagus (the food pipe) for which the exact reason is still not known.
Laparoscopic procedure for the Achalasia Cardia is most effective method for the treatment in which muscle of the sphincter, under direct vision is cut.
This procedure is known as hellers cardiomyotomy and is performed completely by trained laparoscopic surgeon with a key-hole surgery.
This method requires 5 tiny-hole incisions each less than half inch on the abdominal & done under the general anaesthesia.
The procedure is ususally combined with the antireflux procedure also. The duration of the surgery was 60-90 minutes and requires overnight stay or 2 days stay in the hospital.