Hellers Myotomy operation or not?

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I was finally diagnosed with Achalasia in March 2021 after many years of stomach issues and multiple endoscopies. My consultant has recommend Hellers Myotomy and Nissen Fundoplication. He stated results were esophagus muscles showed 100% failure and LES 30% effective.

However I have a BMI of 29 and do not suffer issues with swallowing food or drink frequently and have managed with these issues for years.

I do suffer with the sudden onset of spasms that come on with no obvious trigger and radiate to my spine. The pain is excruciating and only drinking fluids helps.

So my dilema is, do I decline the operation (risk of operation and post operative issues) or decide to bite the bullet and have it?

My gut feeling (excuse the pun) is to decline it. But I am unsure of the medical risks and impact on future investigations and solutions by the NHS.

Any responses greatly appreciated



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    Hi Greg, I have the same dilemma about whether or not to go through with the operation. The only thing I really can't swallow is rice, but I have a lot of painful spasms and problems with night time reflux symptoms. Did you decide whether to go through with the operation of not? I would be interested to hear how you are doing.

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