Video Experimental Relacionado
Updated: Jan 15, 2026
11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
1.9K
title
Sara Estefany Herrera Mendoza1, Lázaro Arango Molano2, Andrés Sánchez Gil2
1Universidad del Sinú EBZ, Seccional Cartagena, Cartagena, Colombia.
Resumen
tl_dr
Área de la Ciencia:
- Gastroenterología
- Trastornos de la Motilidad Esofágica
- Tecnología Médica
Sus antecedentes:
- La acalasia es un trastorno raro de la motilidad esofágica de etiología incierta.
- Implica ausencia de peristalsis y disfunción del esfínter esofágico inferior (LES).
- La comprensión actual apunta a factores autoinmunes, infecciosos o genéticos.
Objetivo del estudio:
- Revisar los avances recientes en el diagnóstico y manejo de la acalasia.
- Enfatizar la clasificación funcional, las tecnologías emergentes y las estrategias terapéuticas efectivas.
- Proporcionar una visión general actualizada para los médicos que atienden a pacientes con acalasia.
Principales métodos:
- Se realizó una revisión narrativa de la literatura.
- Se incluyen artículos científicos, guías clínicas y declaraciones de consenso internacionales (AGA 2024, ESGE 2025).
- Se centra en los avances en el diagnóstico y tratamiento de la acalasia.
Principales resultados:
- La Clasificación de Chicago v4.0 con manometría esofágica de alta resolución (HRM) mejora la precisión diagnóstica.
- La miotomía endoscópica peroral (POEM) muestra una alta eficacia, especialmente para la acalasia tipo III.
- La tecnología EndoFLIP ayuda en la evaluación dinámica de la LES, optimizando el tratamiento y reduciendo las complicaciones.
Conclusiones:
- El manejo moderno de la acalasia requiere una estrategia de tratamiento individualizada.
- La selección del tratamiento depende del subtipo de acalasia, la experiencia disponible y las preferencias del paciente.
- Los avances en diagnóstico y terapéutica mejoran los resultados clínicos para los pacientes con acalasia.
Videos de Conceptos Relacionados
01:20Myasthenia Gravis: Overview and Treatment
2.8K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
2.8K
01:20Gastrointestinal Motility Disorders
1.1K
Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
1.1K
01:28Disorders of the Skeletal Muscle
1.7K
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
1.7K
01:26Chemical Synapses
11.2K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
11.2K
01:26Chemical Synapses
4.3K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
4.3K
01:25Deglutition
5.3K
Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
5.3K