Updates in Surgery

, Volume 66, Issue 1, pp 23–29

The management of esophageal achalasia: from diagnosis to surgical treatment

Review Article

DOI: 10.1007/s13304-013-0224-1

Cite this article as:
Dobrowolsky, A. & Fisichella, P.M. Updates Surg (2014) 66: 23. doi:10.1007/s13304-013-0224-1


The goal of this review is to illustrate our approach to patients with achalasia in terms of preoperative evaluation and surgical technique. Indications, patient selection and management are herein discussed. Specifically, we illustrate the pathogenetic theories and diagnostic algorithm with current up-to-date techniques to diagnose achalasia and its manometric variants. Finally, we focus on the therapeutic approaches available today: medical and surgical. A special emphasis is given on the surgical treatment of achalasia and we provide the reader with a detailed description of our pre and postoperative management.


AchalasiaPneumatic dilatationHeller myotomyEsophageal function testingLaparoscopic repair

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Swallowing Center, Department of SurgeryLoyola University ChicagoMaywoodUSA