Achalasia: Dilation, Injection or Surgery? | Zendy

Alberto Peracchia | Zendy; Luigi Bonavina | Zendy

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Achalasia: Dilation, Injection or Surgery?

Author(s) -

Alberto Peracchia,

Luigi Bonavina

Publication year - 2000

Publication title -

canadian journal of gastroenterology

Language(s) - English

Resource type - Journals

eISSN - 1916-7237

pISSN - 0835-7900

DOI - 10.1155/2000/679608

Subject(s) - achalasia , medicine , esophageal sphincter , myotomy , dilation (metric space) , myenteric plexus , surgery , sphincter , heller myotomy , bolus (digestion) , esophagus , disease , reflux , immunohistochemistry , mathematics , combinatorics

Achalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no controlled studies comparing modern endoscopic and surgical techniques are available, laparoscopic surgery is emerging as the initial intervention of choice.

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