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Achalasia: what to do in the face of failures of Heller myotomy.
Felix, Valter N; Murayama, Kenric M; Bonavina, Luigi; Park, Moo In.
Afiliação
  • Felix VN; Nucleus of General and Specialized Surgery - São Paulo and Department of Gastroenterology - Surgical Division - São Paulo University, FMUSP, Sao Paulo, Brazil.
  • Murayama KM; Department of Surgery, John A. Burns School of Medicine, the University of Hawaii at Manoa, Honolulu, Hawaii.
  • Bonavina L; Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, The University of Milan, San Donato Milanese, Italy.
  • Park MI; Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Ann N Y Acad Sci ; 1481(1): 236-246, 2020 12.
Article em En | MEDLINE | ID: mdl-32713020
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Acalasia Esofágica / Esofagoscopia / Esofagectomia / Esfíncter Esofágico Inferior / Miotomia de Heller Limite: Humans Idioma: En Revista: Ann N Y Acad Sci Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Acalasia Esofágica / Esofagoscopia / Esofagectomia / Esfíncter Esofágico Inferior / Miotomia de Heller Limite: Humans Idioma: En Revista: Ann N Y Acad Sci Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos