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Ann N Y Acad Sci ; 1481(1): 236-246, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32713020

RESUMO

Achalasia is a primary motility disorder of the esophagus, and while there are several treatment options, there is no consensus regarding them. When therapeutic intervention for achalasia fails, a careful evaluation of the cause of the persistent or recurrent symptoms using upper endoscopy, esophageal manometry, and contrast radiologic studies is required to understand the cause of therapy failure and guide plans for subsequent treatment. Options for reintervention are the same as for primary intervention and include pneumatic dilation, botulinum toxin injection, peroral endoscopic myotomy, or redo esophageal myotomy. When reintervention fails or if the esophagus is not amenable to intervention and the disease is considered end-stage, esophagectomy is the last option to manage recurrent achalasia.


Assuntos
Acalasia Esofágica , Esfíncter Esofágico Inferior , Esofagectomia , Esofagoscopia , Miotomia de Heller/efeitos adversos , Acalasia Esofágica/diagnóstico por imagem , Acalasia Esofágica/fisiopatologia , Acalasia Esofágica/cirurgia , Esfíncter Esofágico Inferior/diagnóstico por imagem , Esfíncter Esofágico Inferior/fisiopatologia , Esfíncter Esofágico Inferior/cirurgia , Humanos , Manometria
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