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Achalasia.

J C Reynolds1, H P Parkman

  • 1University of Pennsylvania School of Medicine, Philadelphia.

Gastroenterology Clinics of North America
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

Achalasia treatment options like pneumatic dilatation and Heller esophagomyotomy are effective for most patients. Ruling out malignancy and managing potential complications are crucial for long-term care.

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Area of Science:

  • Gastroenterology
  • Esophageal Disorders

Background:

  • Achalasia is a chronic esophageal motility disorder.
  • Effective treatments exist, but secondary causes must be excluded.

Purpose of the Study:

  • To review the diagnosis and management of achalasia.
  • To outline treatment options and potential complications.

Main Methods:

  • Literature review of achalasia diagnosis and treatment.
  • Discussion of diagnostic modalities including endoscopy and CT scans.
  • Overview of therapeutic interventions and complication monitoring.

Main Results:

  • Pneumatic dilatation and Heller esophagomyotomy offer high success rates (65-90%).
  • Malignancy must be ruled out before treatment.

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  • Medical therapy provides temporary relief for select patients.
  • Complications of pneumatic dilatation are rare but require monitoring.

    • Conclusions:

    • Achalasia management requires careful diagnosis, appropriate treatment selection, and vigilant complication surveillance.
    • Long-term patient support and education are essential for managing this chronic condition.