Achalasia Surgery Versus Per-Oral Endoscopic Myotomy

Tasnim Sadia; Raja Siva; Sudarshan Monisha

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Achalasia Surgery Versus Per-Oral Endoscopic Myotomy

机译：Achalasia Surgery Versus Per-Oral Endoscopic Myotomy

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Achalasia is a disease with a wide spectrum and distinct subtypes with type III forming its own en-tity. The time-dependent failure of achalasia adds to the complexity of the disease. Due to these is-sues, there is no singular palliation for achalasia with each case requiring a custom approach. The 2 most central palliative treatments are Heller myotomy and POEM. We find a POEM is most suit-able for type III achalasia, salvage myotomy, and select type I achalasia. We reserve Heller myotomy via a minimally invasive approach for type II acha-lasia, presence of a hiatal hernia, epiphrenic diver-ticulum, or a sink trap esophagus. Currently, rates of reflux esophagitis are up to 50% after POEM with operative fundoplication rarely necessary. As 5 to 10-year data become available, longer-term outcomes of achalasia and different palliative ap-proaches will be revealed.

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来源
《Thoracic surgery clinics》 |2023年第2期|135-140|共6页
作者
Tasnim Sadia; Raja Siva; Sudarshan Monisha;
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作者单位

Cleveland Clinic Foundation,Cleveland Clin Fdn;

Thorac & Cardiovasc Surg Inst,Cleveland Clin Fdn;

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原文格式 PDF
正文语种英语
中图分类外科学;
关键词
nbsp; Achalasia; POEM; Heller myotomy; Dor fundoplication; PNEUMATIC DILATION; SURGICAL MYOTOMY;

Achalasia Surgery Versus Per-Oral Endoscopic Myotomy

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