The last 20 years have witnessed a shift in the treatment algorithm of esophageal achalasia. Laparoscopic Heller myotomy with partial fundoplication is considered in most centers the primary treatment modality, while endoscopic treatment such as pneumatic dilatation and endoscopic botulinum toxin injection is mainly reserved for the management of patients unfit for surgery or in case of surgical failure. Recently, a new approach to achalasia has been proposed: the peroral endoscopic myotomy (POEM).

Achalasia: Treatment

ALLAIX, Marco Ettore;REBECCHI, Fabrizio;GIACCONE, Claudio;MORINO, Mario
2014

Abstract

The last 20 years have witnessed a shift in the treatment algorithm of esophageal achalasia. Laparoscopic Heller myotomy with partial fundoplication is considered in most centers the primary treatment modality, while endoscopic treatment such as pneumatic dilatation and endoscopic botulinum toxin injection is mainly reserved for the management of patients unfit for surgery or in case of surgical failure. Recently, a new approach to achalasia has been proposed: the peroral endoscopic myotomy (POEM).
Esophageal Diseases. Evaluation and Treatment
Springer
143
152
9783319043364
http://link.springer.com/book/10.1007/978-3-319-04337-1
Achalasia; Botulinum toxin injection; Endoscopic dilatation; Laparroscopic myotomy
Marco E. Allaix; F. Rebecchi; C. Giaccone; M. Morino
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2318/154737
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