Related Experiment Video
Updated: Jan 15, 2026
11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
1.9K
[Achalasia: UpToDate]
Sara Estefany Herrera Mendoza1, Lázaro Arango Molano2, Andrés Sánchez Gil2
1Universidad del Sinú EBZ, Seccional Cartagena, Cartagena, Colombia.
Summary
Achalasia management is advancing with new diagnostic tools like high-resolution manometry and treatments such as peroral endoscopic myotomy (POEM). An individualized approach considering achalasia subtype and patient preference is key for optimal outcomes.
Area of Science:
- Gastroenterology
- Esophageal Motility Disorders
- Medical Technology
Background:
- Achalasia is a rare esophageal motility disorder with uncertain etiology.
- It involves absent peristalsis and lower esophageal sphincter (LES) dysfunction.
- Current understanding points to autoimmune, infectious, or genetic factors.
Purpose of the Study:
- To review recent diagnostic and management advances in achalasia.
- To emphasize functional classification, emerging technologies, and effective therapeutic strategies.
- To provide an updated overview for clinicians managing achalasia patients.
Main Methods:
- A narrative literature review was conducted.
- Included are scientific articles, clinical guidelines, and international consensus statements (AGA 2024, ESGE 2025).
- Focus on advancements in diagnosis and treatment of achalasia.
Main Results:
- Chicago Classification v4.0 with high-resolution esophageal manometry (HRM) improves diagnostic accuracy.
- Peroral endoscopic myotomy (POEM) shows high efficacy, especially for type III achalasia.
- EndoFLIP technology aids dynamic LES assessment, optimizing treatment and reducing complications.
Conclusions:
- Modern achalasia management necessitates an individualized treatment strategy.
- Treatment selection depends on achalasia subtype, available expertise, and patient preferences.
- Advances in diagnostics and therapeutics enhance clinical outcomes for achalasia patients.
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