819 Is Laparoscopic Heller Myotomy Still Indicated in Stage IV Sigmoid Megaesophagus

S A T A b st ra ct s LARS is an effective and durable treatment option for GERD. Success or failure cannot be defined in a single domain. A comprehensive analysis of outcomes requires categorization that includes symptom response, side-effects, patient's perception and objective measurement of acid exposure, mucosal integrity, and the need for additional medical or surgical treatment. Only then can patients and physicians better understand the role of LARS and make informed decisions.