Achalasia pp 99-104 | Cite as

Treatment of Achalasia in Patients with Dilated Esophagus

  • Marco G. PattiEmail author
  • Mauricio Ramirez
  • Fernando A. M. Herbella


Some patients with achalasia have a dilated and sometimes sigmoid esophagus. These patients can be divided into two groups: some already have a dilated esophagus at the time of the initial presentation, while others may develop a dilated and sigmoid esophagus after failure of treatment. Treatment must be individualized, using esophageal resection as last resort.


Esophageal achalasia Dysphagia Upper endoscopy Barium swallow Dilated esophagus Sigmoid esophagus Laparoscopic Heller myotomy Dor fundoplication Pneumatic dilatation POEM Esophagectomy 


Conflict of Interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Marco G. Patti
    • 1
    Email author
  • Mauricio Ramirez
    • 1
  • Fernando A. M. Herbella
    • 2
  1. 1.Department of SurgeryCenter for Esophageal Diseases, University of Chicago Pritzker School of MedicineChicagoUSA
  2. 2.Department of SurgeryEscola Paulista de Medicina, Federal University of São PauloSão PauloBrazil

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