| 1. | The shortcoming of laparoscopic esophageal myotomy is the need for a fundoplication.
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| 2. | Spascticity can be treated with botox or myotomies.
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| 3. | Botox injections cause scarring in the sphincter which may increase the difficulty of later Heller myotomy.
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| 4. | Rarely, the myotomy procedure performed is incomplete and projectile vomiting continues, requiring repeat surgery.
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| 5. | Marginal myotomy of levator palpebrae muscle can reduce the palpebral fissure height by 2 3 mm.
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| 6. | The Heller myotomy is a long-term treatment, and many patients do not require any further treatment.
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| 7. | The robotic lateral esophageal myotomy has had the best results to date in terms of ability to eat without reflux.
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| 8. | Laparoscopic myotomy cuts the muscle at the 12 o'clock position, resulting in incompetence of the valve and reflux.
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| 9. | On the one hand, the myotomy opens the esophagus, while on the other hand, the fundoplication causes an obstruction.
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| 10. | Recent understanding of the gastroesophageal antireflux barrier / valve has shed light on the reason for the occurrence of reflux following myotomy.
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