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[Esophageal achalasiaEsophageal achalasiaAchalasia is an uncommon motility disorder of the esophagus characterized by failure of relaxation of the lower esophageal sphincter (LES) and absence of progressive peristalsis in the distal esophagus. Prior to treatment, it is imperative that other processes that may mimic achalasia are ruled out. Diagnosis is established by way of esophageal manometry in conjunction with an esophagram and esophagogastroduodenoscopy. A variety of treatment options are available to relieve outflow obstruction and improve symptoms with per-oral endoscopic myotomy (POEM) emerging as a novel and effective endoscopic approach in the management of the disease. This chapter will review treatment modalities for achalasia.]
Published: Apr 21, 2018
Keywords: Achalasia; POEM; Dilation; Manometry; Heller myotomy; Fundoplication; Lower esophageal sphincter
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