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The evolution of the treatment of esophageal achalasia. Chronicle of a 35-year journey.
Over the last few decades, significant improvement has been made in both the evaluation and treatment of esophageal achalasia. The Chicago classification, today in version 4.0, is now the standard for diagnosis of achalasia, providing a cla…
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Achalasia Treatment in Patients over 80 Years of Age: A Multicenter Survey.
Laparoscopic Heller's myotomy (LHM), per oral endoscopic myotomy, and pneumatic dilatation are well-established methods to treat achalasia. The ideal treatment algorithm in elderly patients is, however, still elusive. This multicenter study…
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Esophageal achalasia after Roux-en-Y gastric bypass for morbid obesity.
The development of achalasia in patients with a prior Roux-en-Y gastric bypass (RYGB) is rare and it often remains unclear whether the esophageal motility disorder is a pre-existing condition in the obese patient or develops de novo after t…
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The 2018 ISDE achalasia guidelines.
Achalasia is a relatively rare primary motor esophageal disorder, characterized by absence of relaxations of the lower esophageal sphincter and of peristalsis along the esophageal body. As a result, patients typically present with dysphagia…
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Multidisciplinary Approach to Esophageal Achalasia: A Single Center Experience.
[BACKGROUND] The treatment of achalasia is palliative. Pneumatic dilatation (PD) or laparoscopic Heller myotomy (LHM) just eliminates the outflow obstruction allowing easier emptying of the esophagus. The aim of this study was to evaluate t…
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Toward a Tailored Treatment of Achalasia: An Evidence-Based Approach.
[BACKGROUND] The treatment options in achalasia patients aim to improve symptoms by reducing the functional obstruction at the level of the gastroesophageal junction. Available treatment modalities are endoscopic botulinum toxin injection (…