Nasogastric Tube After Laparoscopic Heller-Dor Myotomy

The goal of this prospective observational study is to evaluate the role of nasogastric tube (NGT) in patients with achalasia underwent to Heller-Dor laparoscopic. The main question it aims to answer are:• If it is possible to remove NGT at the end of surgery. Participants will be dived in two groups: the first one with NGT after surgery and second one without NGT (noNGT).If there is a comparison group: Researchers will compare group NGT and group noNGT to see if routine placement of NGT is useless.

Inclusion Criteria:patients with achalasia of type I and IIpatients undergoing laparoscopic Heller-Dorpatients older than 18 yearsboth sexesExclusion Criteria:pregnant patients;patients a history of abdominal surgery;body mass index (BMI) >40;American Society of Anesthesiology (ASA) score >4;megaesophagus;III type Achalasia;previously treated for this disease.