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Surgical Management of Achalasia: Recurrent Dysphagia

  • Hope T. Jackson
  • Brant K. OelschlagerEmail author
Chapter

Abstract

Laparoscopic Heller myotomy with partial fundoplication is the procedure of choice for patients with achalasia. Persistent or recurrent dysphagia can develop over time secondary to several factors primarily related to surgical technique. A systematic and thorough approach is necessary for the diagnostic evaluation of these patients to help determine the most appropriate treatment modality. Endoscopic therapy and revisional surgery are the cornerstones of treatment, and newer endoscopic therapies may provide a more minimally invasive approach to the management of this disease. Esophagectomy remains a surgical option in cases that are refractory to these less invasive treatment therapies. This chapter will focus on the diagnostic and therapeutic approach to patients with persistent or recurrent dysphagia following a Heller myotomy.

Keywords

Achalasia Dysphagia Recurrent Persistent Heller myotomy Minimally invasive 

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Copyright information

© SAGES 2019

Authors and Affiliations

  1. 1.University of Maryland School of MedicineBaltimoreUSA
  2. 2.Department of SurgeryUniversity of WashingtonSeattleUSA

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