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Since many patients experience worsening gastroesophageal reflux after a Heler myotomy, typically the surgeon will also perform a fundoplication (stomach wrap) at the same time to minimize this risk.

After immediate esophago-gastroscopy, urgent laparoscopic reduction, repair with a 360° floppy Nissen fundoplication and insertion of a gradually absorbable GORE® BIO-A®-mesh was performed.