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Update in achalasia: what the surgeon needs to know |
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| Authors: | Peter W. Hamer Richard H. Holloway Gary Crosthwaite Peter G. Devitt Sarah K. Thompson |
| Affiliation: | 1. University of Adelaide Discipline of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia;2. Department of Gastroenterology and Hepatology, Royal Adelaide Hospital, Adelaide, South Australia, Australia;3. Department of Surgery, The University of Melbourne, Parkville, Victoria, Australia;4. Clinical Institute General Surgery and Gastroenterology Epworth Healthcare, Richmond, Victoria, Australia;5. University of South Australia, Adelaide, South Australia, Australia |
| Abstract: | Achalasia is a motility disorder encountered by surgeons during the investigation and treatment of dysphagia. Recent advances in manometry technology, a widely accepted new classification system and a new treatment rapidly gaining international acceptance, have changed the working knowledge required to successfully manage patients with achalasia. We review the Chicago classification subtypes of achalasia with type II achalasia being a predictor of success and type III achalasia a predictor of treatment failure. We review per‐oral endoscopic myotomy as an emerging treatment option and its potential for improving the treatment of type III achalasia. |
| Keywords: | achalasia cardiomyotomy Chicago classification high resolution manometry POEM |