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Comparison of Different Treatment Modalities and Treatment Algorithm for Esophageal Achalasia

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Foregut Surgery

Abstract

Available treatments for esophageal achalasia are not curative, but rather aim to eliminate the outflow resistance caused by the non-relaxing lower esophageal sphincter. Nonsurgical modalities include pharmacological therapy, endoscopic botulinum toxin injection, pneumatic dilatation, and per-oral endoscopic myotomy (POEM). Surgical treatments include laparoscopic Heller myotomy and esophagectomy. The aim of this chapter is to review and compare current available treatment modalities for esophageal achalasia and propose an evidence-based treatment algorithm.

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Authors and Affiliations

  1. Department of Surgery, Hospital Alemán of Buenos Aires, Buenos Aires, Argentina

    Nicolás H. Dreifuss

  2. Department of Surgery, Hospital Alemán of Buenos Aires, University of Buenos Aires, Buenos Aires, Argentina

    Francisco Schlottmann

  3. Department of Surgery, University of North Carolina, Chapel Hill, NC, USA

    Francisco Schlottmann & Marco Di Corpo

  4. Department of Medicine and Surgery, University of North Carolina, Chapel Hill, NC, USA

    Marco Di Corpo

  5. Department of Medicine, Center for Esophageal Diseases and Swallowing, University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

  6. Department of Surgery, Center for Esophageal Diseases and Swallowing, University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

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  1. Nicolás H. Dreifuss
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Editors and Affiliations

  1. University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

  2. University of North Carolina, Chapel Hill, NC, USA

    Marco Di Corpo

  3. University of Buenos Aires, Buenos Aires, Argentina

    Francisco Schlottmann

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Dreifuss, N.H., Schlottmann, F., Di Corpo, M., Patti, M.G. (2020). Comparison of Different Treatment Modalities and Treatment Algorithm for Esophageal Achalasia. In: Patti, M., Di Corpo, M., Schlottmann, F. (eds) Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27592-1_11

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  • DOI: https://doi.org/10.1007/978-3-030-27592-1_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27591-4

  • Online ISBN: 978-3-030-27592-1

  • eBook Packages: MedicineMedicine (R0)

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