Heller's myotomy is done for:September 2007, 2009, 2010

Ans. C: Achalasia cardiaAchalasia is associated with loss of ganglion cells in the esophageal myenteric plexus.These impoant inhibitory neurons induce LES relaxation and coordinate proximal-to-distal peristaltic contraction of the esophagusAchalasia is an esophageal motor disorder characterized by increased lower esophageal sphincter (LES) pressure, diminished-to-absent peristalsis in the distal poion of the esophagus composed of smooth muscle, and lack of a coordinated LES relaxation in response to swallowing.Barium radiology may show 'bird's beak' appearance.Esophageal (Heller) myotomy is a surgical procedure that is performed with minimally invasive techniques. The laparoscopic approach appears to be most appropriate.