Exploring Treatment Options for Achalasia: Which Is Right for You?
Exploring Treatment Options for Achalasia: Which Is Right for You?
Treatment Choices
Achalasia can be managed with several treatment options. This article breaks down the procedures available to help you make an informed decision.
Contents
- Pneumatic Dilation
- Surgical Myotomy
- Peroral Endoscopic Myotomy (POEM)
Pneumatic Dilation
Pneumatic dilation involves inserting a balloon into the esophagus and inflating it to stretch the LES. It's less invasive than surgery and can be effective in relieving symptoms, but it may require multiple sessions and carries a risk of esophageal perforation.
Surgical Myotomy
Surgical myotomy involves cutting the muscle fibers of the LES to relieve pressure. It's often combined with an antireflux procedure to prevent GERD. While effective, it requires a longer recovery time and carries risks like infection and bleeding.
Peroral Endoscopic Myotomy (POEM)
POEM is a newer, minimally invasive procedure where an endoscope is used to cut the esophageal muscle. It offers quicker recovery and is effective, especially for type III achalasia, but may increase the risk of reflux compared to other treatments.
FAQs
What is pneumatic dilation?
It's a procedure using a balloon to stretch the esophagus.
Is surgery necessary for achalasia?
Surgery like myotomy is an option, but not always necessary.
How does POEM work?
POEM uses an endoscope to cut the esophageal muscle, relieving symptoms.
Final Thoughts
Choosing the right procedure for achalasia depends on individual health needs and preferences.
Additional References
- Vela MF, et al. The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol 2006; 4:580.
- Inoue H, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 2010; 42:265.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.