Erschienen in:
01.07.2014 | White Paper
Per-oral endoscopic myotomy white paper summary
verfasst von:
Stavros N. Stavropoulos, David J. Desilets, Karl-Hermann Fuchs, Christopher J. Gostout, Gregory Haber, Haruhiro Inoue, Michael L. Kochman, Rani Modayil, Thomas Savides, Daniel J. Scott, Lee L. Swanstrom, Melina C. Vassiliou
Erschienen in:
Surgical Endoscopy
|
Ausgabe 7/2014
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Excerpt
Achalasia is an uncommon esophageal motility disorder in which there is selective loss of inhibitory neurons resulting in loss of peristalsis and failure of adequate relaxation of the lower esophageal sphincter (LES) in response to food bolus. There is no current curative treatment that reverses the pathophysiology of achalasia. The treatment options are aimed at improving the passage of solids and liquids through the gastroesophageal junction (GEJ). The traditional treatment options include surgical myotomy and endoscopic methods that disrupt or weaken the LES, such as endoscopic balloon dilation and botulinum toxin injection (BI). …