Achalasia 2016: Treatment Alternatives
Herbella, Fernando Augusto Mardiros [UNIFESP]
Moura, Eduardo G. H.
Patti, Marco G.
Is part ofJournal Of Laparoendoscopic & Advanced Surgical Techniques
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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.
CitationJournal Of Laparoendoscopic & Advanced Surgical Techniques. New Rochelle, v. 27, n. 1, p. 6-11, 2017.
laparoscopic Heller myotomy
per oral endoscopic myotomy
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