Achalasia: what to do in the face of failures of Heller myotomy.

Abstract:

:Achalasia is a primary motility disorder of the esophagus, and while there are several treatment options, there is no consensus regarding them. When therapeutic intervention for achalasia fails, a careful evaluation of the cause of the persistent or recurrent symptoms using upper endoscopy, esophageal manometry, and contrast radiologic studies is required to understand the cause of therapy failure and guide plans for subsequent treatment. Options for reintervention are the same as for primary intervention and include pneumatic dilation, botulinum toxin injection, peroral endoscopic myotomy, or redo esophageal myotomy. When reintervention fails or if the esophagus is not amenable to intervention and the disease is considered end-stage, esophagectomy is the last option to manage recurrent achalasia.

journal_name

Ann N Y Acad Sci

authors

Felix VN,Murayama KM,Bonavina L,Park MI

doi

10.1111/nyas.14440

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

236-246

issue

1

eissn

0077-8923

issn

1749-6632

journal_volume

1481

pub_type

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