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The evolution of the treatment of esophageal achalasia. Chronicle of a 35-year journey.

Cirugia espanola 2024 Vol.102(6) p. 340-346

Patti MG, Herbella FA

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Abstract

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 classification into 3 subtypes with important therapeutic and prognostic implications. Therapy, which was at first mostly limited to pneumatic dilatation, today includes minimally invasive surgery and peroral endoscopic myotomy, allowing for a more tailored approach to patients and better treatment of recurrent symptoms. This review chronicles my personal experience with achalasia over the last 35 years, describing the progress made in the treatment of patients with achalasia.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
합병증 esophageal achalasia scispacy 1
합병증 achalasia scispacy 1
약물 peroral scispacy 1
기법 endoscopic 내시경 dict 1
질환 esophageal achalasia C0014848
Esophageal Achalasia
scispacy 1
질환 achalasia C0014848
Esophageal Achalasia
scispacy 1

MeSH Terms

Esophageal Achalasia; Humans; Time Factors

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