Achalasia 2016: Treatment Alternatives

Date
2017Author
Herbella, Fernando Augusto Mardiros [UNIFESP]
Moura, Eduardo G. H.
Patti, Marco G.
Type
ArtigoISSN
1092-6429Is part of
Journal Of Laparoendoscopic & Advanced Surgical TechniquesDOI
10.1089/lap.2016.0468Metadata
Show full item recordAbstract
The treatment for achalasia changed dramatically after the introduction of minimally invasive surgery. Since 1991, laparoscopic Heller myotomy (LHM) has replaced pneumatic dilatation (PD) as the primary form of treatment in many centers. Over time, PD became safer, and eventually endoscopic experts were able to perform an endoscopic myotomy via a per oral endoscopic myotomy (POEM). This article reviews the advantages and disadvantages of each technique. Ultimately, the best outcomes are obtained by a multidisciplinary team that can tailor a specific treatment to each individual patient.
Citation
Journal Of Laparoendoscopic & Advanced Surgical Techniques. New Rochelle, v. 27, n. 1, p. 6-11, 2017.Keywords
achalasiadysphagia
gastroesophageal reflux
laparoscopic Heller myotomy
per oral endoscopic myotomy
pneumatic dilatation
Collections
- EPM - Artigos [17709]