By P. Marco Fisichella, Fernando A. M. Herbella, Marco G. Patti
every one bankruptcy describes a really particular element of Achalasia by way of its identified specialist. present diagnostic and administration ideas of Achalasia, in addition to the simplified operative methods with appropriate technical issues, are defined for the categorical aim audience.
The therapy of Achalasia is complicated and customarily played in really good tertiary-care centres. The Editors' major objective is to render this affliction extra comprehensible and available to citizens, fellows, and experts in either the surgical disciplines (general surgical procedure and thoracic surgical procedure) and in gastroenterology.
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Additional resources for Achalasia: Diagnosis and Treatment
Allaix et al. 20 manometrically determined LES. Patients are encouraged to consume an unrestricted diet during the study, but to avoid snacks and carbonated beverages in between meals. Gastroesophageal reflux is evaluated in terms of (1) number of reflux episodes; (2) number of episodes longer than 5 min; (3) duration of the longest reflux episode; (4) acid exposure (percentage of time with pH less than 4); and (5) esophageal acid clearance (mean duration of a reflux episode) in total, in the distal and proximal esophagus, in the supine and upright position.
17. Foran PG, Davletov B, Meunier FA. Getting muscles moving again after botulinum toxin: novel therapeutic challenges. Trends Mol Med. 2003;9(7):291–9. 18. Bassotti G, D’Onofrio V, Battaglia E, Fiorella S, Dughera L, Iaquinto G, et al. Treatment with botulinum toxin of octo-nonagerians with oesophageal achalasia: a two-year follow-up study. Aliment Pharmacol Ther. 2006;23(11):1615–9. 19. Goschel H, Wohlfarth K, Frevert J, Dengler R, Bigalke H. Botulinum A toxin therapy: neutralizing and nonneutralizing antibodies – therapeutic consequences.
Herbella FAM, Aquino JLB, Stefani-Nakano S, Artifon ELA, Sakai P, Crema E, Andreolo NA, et al. Treatment of achalasia: lessons learned with Chagas’ disease. Dis Esophagus. 2008;21:461–7. Oelschlager BK, Chang L, Pellegrini CA. Improved outcome after extended gastric myotomy for achalasia. Arch Surg. 2003;138:490–5. Pantanali CAR, Herbella FAM, Henry MA, Farah JFM, Patti MG. Laparoscopic Heller myotomy and fundoplication in patients with Chagas’ disease achalasia and massively dilated esophagus.
Achalasia: Diagnosis and Treatment by P. Marco Fisichella, Fernando A. M. Herbella, Marco G. Patti