Heller Myotomy cost in India
Heller myotomy surgery in India ranges from $3,500 to $6,500 USD, which is equivalent to 3,00,000 to 6,00,000 Indian Rupees. The final cost depends on factors such as the type of surgical approach (laparoscopic vs open), surgeon expertise, hospital category, city, and any associated procedures like fundoplication to prevent acid reflux.
The price typically includes preoperative evaluation, surgical fees, anesthesia, hospital stay, and basic post-operative care. Costs may vary based on length of stay, diagnostic tests, postoperative monitoring, and any complications.
Cost Range of Heller Myotomy cost in India
What is Heller Myotomy?
Heller myotomy is a surgical procedure used to treat achalasia, a condition in which the lower esophageal sphincter (LES) fails to relax properly, making it difficult for food and liquids to pass from the esophagus into the stomach.
During Heller myotomy, the surgeon cuts the muscle fibers of the lower esophageal sphincter, allowing the esophagus to open more easily and improving swallowing. The procedure is most commonly performed using a minimally invasive laparoscopic approach and is often combined with a partial fundoplication to reduce the risk of acid reflux after surgery.
Heller myotomy provides long-term relief from symptoms such as difficulty swallowing, chest pain, and regurgitation, and is considered one of the most effective treatments for achalasia.
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What is Achalasia?
Achalasia is a rare swallowing disorder of the esophagus in which the lower esophageal sphincter (LES) does not relax properly and the muscles of the esophagus lose their normal movement (peristalsis).
Because of this, food and liquids have difficulty passing from the esophagus into the stomach, leading to symptoms such as difficulty swallowing, chest pain, regurgitation of food, and weight loss. Over time, food can collect in the esophagus, causing dilation and discomfort.
Achalasia is a chronic condition that cannot be cured permanently, but it can be effectively managed with treatments such as Heller myotomy, POEM (Peroral Endoscopic Myotomy), pneumatic dilation, or medications, which help relax the LES and improve swallowing.
Who Is a Candidate for Heller Myotomy?
The patient who requires achalasia surgery:
Patients diagnosed with achalasia confirmed by tests such as manometry or barium swallow
Individuals with persistent difficulty swallowing (dysphagia) for solids and liquids
Patients experiencing regurgitation, chest pain, or weight loss due to achalasia
Those who do not respond well to medications or pneumatic dilation
Patients seeking long-term symptom relief rather than temporary treatments
Individuals suitable for minimally invasive surgery based on overall health evaluation
Patients with recurrent symptoms after previous endoscopic treatments
Types of Achalasia Treatment & Cost in India (USD)
Procedure Type | Description |
Laparoscopic Heller Myotomy (LHM) | Minimally invasive surgical cut of the LES muscle |
Heller Myotomy + Partial Fundoplication | LHM combined with antireflux procedure to reduce post-op reflux |
Open Heller Myotomy | Traditional open-chest or open-abdomen surgery (less common) |
POEM (Peroral Endoscopic Myotomy) | Endoscopic internal cutting of LES without incisions |
POEM + Botox / Balloon Dilation (Combo) | POEM plus adjunct dilation or Botox for complex cases |
Heller Myotomy Surgery Cost starts from $3500 US dollars
Factors Affecting Heller Myotomy / POEM Treatment Cost in India
Type of procedure chosen: Laparoscopic Heller Myotomy, POEM, or open surgery each have different costs.
Addition of fundoplication: Combining Heller myotomy with partial fundoplication increases overall cost.
Hospital category and city: Tertiary heart hospitals in major cities typically charge more than smaller centers.
Surgeon’s experience and expertise: Highly experienced laparoscopic or endoscopic surgeons may have higher professional fees.
Pre-operative diagnostics: Advanced tests such as manometry, endoscopy, and imaging add to the overall charge.
Length of hospital and ICU stay: Extended post-procedure observation increases expenses.
Anesthesia and operating room costs: Vary based on the complexity and duration of the procedure.
Post-operative medications and care: Pain management, reflux prevention meds, and follow-up visits impact total cost.
Patient’s overall health and risk profile: Patients with co-morbid conditions may require additional monitoring or supportive care.
Use of advanced equipment: Use of 3D imaging, high-end endoscopes, or advanced staplers influences pricing.
Symptoms Prompting Heller Myotomy / POEM Treatment
Treatment for achalasia is recommended when symptoms persist, worsen, or interfere with daily life. Common symptoms that prompt intervention include:
Difficulty swallowing (dysphagia) for solids and liquids
Regurgitation of undigested food or liquids, especially at night
Chest pain or pressure not related to heart disease
Frequent choking or coughing, particularly while lying down
Unintended weight loss due to poor nutrition
Heartburn-like symptoms not relieved by acid-reflux medications
Feeling of food getting stuck in the chest
Recurrent respiratory infections or aspiration pneumonia
Poor quality of life despite medications or dilation
Diagnostic Tests for Achalasia & Cost in India (USD)
Diagnostic Test | Purpose | Estimated Cost (USD) |
Barium Swallow (Esophagram) | Visualizes esophageal shape and movement; classic “bird’s beak” sign | $30 to $80 |
Upper GI Endoscopy (Esophagogastroduodenoscopy) | Direct visualization of esophagus and rule out other causes | $60 to $150 |
Esophageal Manometry | Measures muscle contractions and LES relaxation to confirm achalasia | $200 to $400 |
CT Scan (Chest/Abdomen) | Assesses esophageal dilation and excludes masses | $200 to $400 |
Chest X-ray | Initial assessment of esophageal dilation and mediastinal changes | $20 to $50 |
Blood Tests | Evaluates overall health, anemia, electrolytes, and surgical fitness | $40 to $80 |
Why India Is Preferred for Heller Myotomy / POEM
Affordable treatment costs, up to 60–80% lower than the US, UK, and Europe
Highly experienced GI surgeons and endoscopists specializing in achalasia treatment
Availability of both surgical and endoscopic options (Laparoscopic Heller Myotomy & POEM)
Advanced minimally invasive technology with modern laparoscopic and endoscopy suites
Internationally accredited hospitals (JCI, NABH) ensuring global safety standards
Short waiting times for diagnosis and procedures
High success rates with long-term symptom relief
Comprehensive international patient support, including visa, accommodation, and follow-up care
English-speaking medical teams for clear communication
Best Hospitals for Heller Myotomy Treatment in India
Best Doctor for Heller Myotomy Treatment in India
