{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:31:02Z","timestamp":1786728662586,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Laparoscopic Heller\u2019s cardiomyotomy is the surgical procedure of choice in the management of oesophageal achalasia. It is critical to confirm the completeness of the myotomy and mucosal integrity at the conclusion of the procedure. This is conventionally achieved by intraoperative endoscopy and dynamic air leak test. Other modalities that can be used to confirm the myotomy and the integrity of the mucosa at the myotomy site are oesophageal manometry and a methylene blue dye study, respectively. Indocyanine green (ICG) has been in clinical use for more than six decades. The real-time integration of ICG fluorescence with laparoscopy is a relatively new breakthrough. Here, we present a novel method of using real-time near-infrared ICG fluorescence for confirming the completeness of the myotomy and mucosal integrity at the myotomy site post laparoscopic Heller\u2019s myotomy. This is the first report on the use of ICG in laparoscopic Heller\u2019s cardiomyotomy that we are aware of.<\/jats:p>","DOI":"10.4103\/jmas.jmas_194_22","type":"journal-article","created":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T07:39:17Z","timestamp":1679125157000},"page":"447-449","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Use real-time near-infrared fluorescence during Heller\u2019s cardiomyotomy for achalasia cardia"],"prefix":"10.4103","volume":"19","author":[{"given":"Srikanth","family":"Gadiyaram","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology and Minimally Invasive Surgery, Sahasra Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravikiran","family":"Thota","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology and Minimally Invasive Surgery, Sahasra Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murugappan","family":"Nachiappan","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology and Minimally Invasive Surgery, Sahasra Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1007\/s00464-016-5133-1","article-title":"Mucosal perforation during laparoscopic surgery for achalasia: Impact of preoperative pneumatic balloon dilation","volume":"31","author":"Souma","year":"2017","journal-title":"Surg Endosc"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1007\/s12262-011-0402-7","article-title":"Revisional surgery after heller myotomy for treatment of achalasia: A comparative analysis focusing on operative 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