Learn about Cardiomyotomy Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Cardiomyotomy and request assistance for cost estimates or appointments.

About Cardiomyotomy

Cardiomyotomy, also known as Heller myotomy, is a specialized surgical procedure performed by a Surgical Gastroenterologist to treat achalasia cardia, a rare esophageal motility disorder. The procedure involves carefully cutting the thickened muscle fibers of the lower esophageal sphincter (LES) where it meets the stomach. This incision relieves the chronic constriction that prevents food and liquids from passing easily into the stomach, thereby alleviating severe dysphagia (difficulty swallowing), regurgitation, and chest pain. The surgery is often combined with a partial fundoplication (a wrap of the stomach around the esophagus) to prevent post-operative gastroesophageal reflux. It is typically performed using minimally invasive laparoscopic or robotic techniques, leading to smaller incisions, less pain, and a faster recovery compared to traditional open surgery.

Key Highlights

    Provides a definitive, long-term solution for achalasia, significantly improving swallowing function.Minimally invasive approach (laparoscopic/robotic) reduces surgical trauma, pain, and scarring.Often performed as a same-day or short-stay procedure, promoting quicker return to normal activities.High success rate in relieving dysphagia, regurgitation, and chest pain associated with achalasia.Combined with a partial fundoplication (Dor or Toupet) to minimize the risk of post-operative acid reflux.

Who is this surgery for?

  • Confirmed diagnosis of achalasia cardia (Type I, II, or III) not adequately managed by medication or balloon dilation (pneumatic dilation).
  • Severe and persistent dysphagia (difficulty swallowing) for both solids and liquids.
  • Regurgitation of undigested food, especially at night, which may lead to aspiration or weight loss.
  • Chest pain related to esophageal spasm that is unresponsive to other therapies.
  • Failed previous non-surgical treatments like botulinum toxin (Botox) injections or pneumatic dilation.
  • Patients who are suitable candidates for surgery and prefer a definitive one-time procedure.

How to prepare

  • Complete diagnostic workup including barium swallow, esophageal manometry (high-resolution), and upper endoscopy to confirm achalasia.
  • Pre-operative consultation with the surgeon and anesthesiologist to discuss the procedure and assess fitness for surgery.
  • Fasting for 8-12 hours before the surgery as instructed; typically, no food or drink after midnight.
  • Discontinuation of certain medications like blood thinners (aspirin, warfarin, etc.) as advised by the doctor, usually 5-7 days prior.
  • Informed consent process where the patient understands the risks, benefits, and alternatives to the procedure.
  • Showering with an antiseptic soap the night before or morning of the surgery to reduce skin bacteria.

Risks & possible complications

  • Perforation of the esophagus or stomach mucosa during the myotomy, which may require immediate repair.
  • Post-operative gastroesophageal reflux disease (GERD), mitigated by the concurrent partial fundoplication.
  • Infection at the incision sites or within the abdomen (rare with laparoscopic surgery).
  • Bleeding during or after the procedure.
  • Incomplete relief of symptoms or recurrence of dysphagia over time.
  • Risks associated with general anesthesia, such as respiratory or cardiac complications.
  • Injury to nearby structures like the vagus nerve, which can affect gastric emptying.

Recovery & hospital stay

  • Hospital stay is typically 1-3 days for monitoring and to ensure swallowing improves without complications.
  • Initial diet consists of clear liquids, advancing to full liquids, then soft/pureed foods over 2-4 weeks as tolerated.
  • Avoidance of strenuous activities, heavy lifting (more than 10-15 lbs), and vigorous exercise for 4-6 weeks.
  • Pain is managed with prescribed medications; most discomfort subsides significantly within the first week.
  • Follow-up appointments are scheduled to assess healing, dietary progression, and symptom resolution.
  • Most patients can return to non-strenuous work within 1-2 weeks, with full recovery taking several weeks.
  • Long-term, patients are advised to eat slowly, chew thoroughly, and avoid lying down immediately after meals.
  • checked Typical hospital stay: 1-3 days
  • checked Expected recovery time: 4-6 weeks for full recovery

Frequently Asked Questions

If you are considering cardiomyotomy in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for cardiomyotomy compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India USD 1,632 – USD 3,807 1-3 days ~ 4-6 weeks for full recovery Know More
Turkey USD 12,079 – USD 28,184 1-3 days ~ 4-6 weeks for full recovery Know More

Top hospitals for Cardiomyotomy in India

These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing cardiomyotomy.

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors

Gem Hospital Coimbatore

  • IconRamanathapuram, India
  • Icon20 Doctors
PATIENT REVIEW

Dr. surendran r provided exceptional care...

Dr. surendran r provided exceptional care for my surgical gastroenterology condition. The treatment was personalized and effective.

Surgical Gastroenterologists for Cardiomyotomy

Explore experienced surgical gastroenterologists who regularly perform cardiomyotomy and provide pre- and post-operative care in India.

Dr. Sathish Kumar
  • 14 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar

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Dr. Kasthuri T S
  • 13 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar

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Dr. Bs Ramakrishna
  • 31 Years Experience
  • Gastroenterologist
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

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Dr. Vivekanandan Shanmugam
  • 30 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

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Dr. Govind Nandakumar
  • 19 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

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Dr. Sasi Kanth Uddagiri
  • 23 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital Vijayawada

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Dr. C. Mansoor Ahmed
  • 5 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital King Koti

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Dr. Magnus Jayaraj Mansard
  • 27 Years Experience
  • Liver Transplant Specialist
Speaks: Tamil, English
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. S Asokan
  • 26 Years Experience
  • Surgical Gastroenterologist
Speaks: Tamil, English
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. G Ajay Pai
  • 14 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. Sreeram Seshadri
  • 9 Years Experience
  • Surgical Gastroenterologist
Speaks: Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. Adithya V Naragund
  • 15 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Kannada, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Cytecare Hospital Bangalore

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Dr. Siddharth Mishra
  • 19 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad

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Dr. Adarsh Chaudhary
  • 46 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

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Dr. Suma S Nair
  • 32 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

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Dr. Azhar Perwaiz
  • 22 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

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Dr. Fysal Kollanta Valappil
  • 18 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

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Dr. Amit Jain
  • 16 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

Metro Hospital Noida Sector 11

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Dr. Suchet Chaudhary
  • 14 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

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Dr. Hemanth Kumar K
  • 11 Years Experience
  • Surgical Gastroenterologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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