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Achalasia and esophago‐gastric junction outflow obstruction: focus on the subtypes
Author(s) -
Boeckxstaens G.,
Zaninotto G.
Publication year - 2012
Publication title -
neurogastroenterology and motility
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.489
H-Index - 105
eISSN - 1365-2982
pISSN - 1350-1925
DOI - 10.1111/j.1365-2982.2011.01833.x
Subject(s) - achalasia , myotomy , medicine , high resolution manometry , esophagogastric junction , gastroenterology , esophagus , adenocarcinoma , cancer
Background The choice between pneumatic dilation and surgical myotomy is mainly determined by the preference and expertise of the treating physician. Ideally, however, treatment should be personalized to provide the optimal clinical outcome. The introduction of high resolution manometry has not only improved the specificity to diagnose achalasia, but also identified three different manometric subclasses. Purpose To review, the data suggesting differences in clinical response to treatment depending on the manometric profile.