Achalasia patient. i'm told that i need the heller myotomy surgery, but i'm hearing about multiple people getting a 2nd or 3rd hm. why is this?

Achalasia: Aloha. Surgery for achalasia can be tricky. Sometimes the myotomy is inadequate requires a revision. Sometimes the workup for achalasia is incomplete and the heller might not be the right operation. Sometimes the esophageal dysmotility is so bad that a heller isn't enough and an esophagectomy is required. Lots of possibilities. You need high res manometry & also go to an experienced surgeon &.

Complex: There are multiple reasons a myotomy may fail, including not a long enough myotomy. Since the esophagus is never normal, there may always be some symptoms. Per oral endoscopic myotomy - poem is available in japan, china, and increasingly so at several centers in the us. Hope this helps!