title: Heller's myotomy for achalasia: is an added anti-reflux procedure necessary?
abstract: Literature review (1970-85) indicates excellent or good results following Heller's operation in 89 per cent of 5002 patients. The overall mortality was 2.8 per cent with a reoperation rate of 2.8 per cent. When the operation was done through an abdominal incision, gastro-oesophageal reflux was almost twice as common as when it was done through a thoracic incision, regardless of whether an anti-reflux procedure was performed.
authors.affiliation: London Hospital, Whitechapel, UK.
authors.forename: N A
authors.initials: NA
authors.lastname: Andreollo
authors.forename: R J
authors.initials: RJ
authors.lastname: Earlam
mesh_terms: D000328:Adult; D004931:Esophageal Achalasia / Q000601:surgery*; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D009130:Muscle, Smooth / Q000601:surgery*