Achalasia: Dilation, Injection or Surgery?

Achalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no contr...

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Main Authors: Alberto Peracchia, Luigi Bonavina
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2000/679608
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author Alberto Peracchia
Luigi Bonavina
author_facet Alberto Peracchia
Luigi Bonavina
author_sort Alberto Peracchia
collection DOAJ
description Achalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no controlled studies comparing modern endoscopic and surgical techniques are available, laparoscopic surgery is emerging as the initial intervention of choice.
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institution Kabale University
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publishDate 2000-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-aed47c5fa0bf47ffb6d3165aeb6a6ed52025-02-03T05:58:51ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-0114544144310.1155/2000/679608Achalasia: Dilation, Injection or Surgery?Alberto Peracchia0Luigi Bonavina1Department of Surgery, University of Milan, Ospedale Maggiore Policlinico IRCCS, Milano, ItalyDepartment of Surgery, University of Milan, Ospedale Maggiore Policlinico IRCCS, Milano, ItalyAchalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no controlled studies comparing modern endoscopic and surgical techniques are available, laparoscopic surgery is emerging as the initial intervention of choice.http://dx.doi.org/10.1155/2000/679608
spellingShingle Alberto Peracchia
Luigi Bonavina
Achalasia: Dilation, Injection or Surgery?
Canadian Journal of Gastroenterology
title Achalasia: Dilation, Injection or Surgery?
title_full Achalasia: Dilation, Injection or Surgery?
title_fullStr Achalasia: Dilation, Injection or Surgery?
title_full_unstemmed Achalasia: Dilation, Injection or Surgery?
title_short Achalasia: Dilation, Injection or Surgery?
title_sort achalasia dilation injection or surgery
url http://dx.doi.org/10.1155/2000/679608
work_keys_str_mv AT albertoperacchia achalasiadilationinjectionorsurgery
AT luigibonavina achalasiadilationinjectionorsurgery