Review Article

Updates in Surgery

, Volume 66, Issue 1, pp 23-29

First online:

The management of esophageal achalasia: from diagnosis to surgical treatment

  • Adrian DobrowolskyAffiliated withSwallowing Center, Department of Surgery, Loyola University Chicago
  • , P. Marco FisichellaAffiliated withSwallowing Center, Department of Surgery, Loyola University Chicago Email author 

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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.


Achalasia Pneumatic dilatation Heller myotomy Esophageal function testing Laparoscopic repair