Exploring Treatment Options for Achalasia: Which Is Right for You?

Published: Sep 21, 2023

Achalasia can be managed with several treatment options. This article breaks down the procedures available to help you make an informed decision.

Pneumatic Dilation

Pneumatic dilation involves inserting a balloon into the esophagus and inflating it to stretch the LES. It's less invasive than surgery and can be effective in relieving symptoms, but it may require multiple sessions and carries a risk of esophageal perforation.

Surgical Myotomy

Surgical myotomy involves cutting the muscle fibers of the LES to relieve pressure. It's often combined with an antireflux procedure to prevent GERD. While effective, it requires a longer recovery time and carries risks like infection and bleeding.

Achalasia is a rare disorder of the esophagus that makes it difficult for food and liquid to pass into the stomach. It is characterized by the inability of the lower esophageal sphincter to relax.

Peroral Endoscopic Myotomy (POEM)

POEM is a newer, minimally invasive procedure where an endoscope is used to cut the esophageal muscle. It offers quicker recovery and is effective, especially for type III achalasia, but may increase the risk of reflux compared to other treatments.

Frequently Asked Questions

It's a procedure using a balloon to stretch the esophagus.

Surgery like myotomy is an option, but not always necessary.

POEM uses an endoscope to cut the esophageal muscle, relieving symptoms.

Key Takeaways

Choosing the right procedure for achalasia depends on individual health needs and preferences.

Want to explore your options further? Discuss achalasia treatments with Doctronic now!

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References

Vela MF, et al. The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol 2006; 4:580.

Inoue H, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 2010; 42:265.

Always discuss health information with your healthcare provider.