High-resolution manometric guidance during laparoscopic Heller myotomy: Impact on quality of life and symptom severity for children with achalasia

Study demonstrates that intraoperative high-resolution manometry during laparoscopic Heller myotomy allows precise tailoring of myotomy length and fundoplication tightness in pediatric achalasia patients. Long-term follow-up shows sustained symptom improvement and quality of life scores comparable to healthy controls, validating this technique's effectiveness.