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Endoscopic Management of Achalasia

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Surgical Management of Benign Esophageal Disorders

Abstract

Achalasia is an esophageal motility disorder characterized by impaired LES relaxation and absent peristalsis in the distal esophagus. Note, however, that absent peristalsis means that there is no progressively sequenced esophageal contraction; it does not imply the complete absence of esophageal contractions or intraluminal pressure. In fact, spastic contractions and panesophageal pressurization of the esophagus are often seen in patients with achalasia, and these criteria are now part of the Chicago classification for subtypes of achalasia (Bredenoord AJ, Fox M, Kahrilas PJ et al, Neurogastroenterol Motil:24(Suppl 1):57, 2012). The scope of endoscopic treatment for achalasia has also evolved over the past 5 years with the emergence of per-oral endoscopic myotomy.

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Author information

Authors and Affiliations

  1. Department of Surgery, Feinberg School of Medicine, Northwestern University, 676 St Clair St, Suite 650, Chicago, IL, 60611, USA

    Eric S. Hungness MD

  2. Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA

    Peter J. Kahrilas MD

Authors
  1. Eric S. Hungness MD
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  2. Peter J. Kahrilas MD
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Corresponding author

Correspondence to Eric S. Hungness MD .

Editor information

Editors and Affiliations

  1. Loyola University Medical Center, Maywood, Illinois, USA

    P. Marco Fisichella

  2. Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Nathaniel J. Soper

  3. Department of Surgery, University of Washington Medical Center, Seattle, USA

    Carlos A. Pellegrini

  4. Chicago, Illinois, USA

    Marco G. Patti

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© 2014 Springer-Verlag London

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Hungness, E.S., Kahrilas, P.J. (2014). Endoscopic Management of Achalasia. In: Fisichella, P., Soper, N., Pellegrini, C., Patti, M. (eds) Surgical Management of Benign Esophageal Disorders. Springer, London. https://doi.org/10.1007/978-1-4471-5484-6_11

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  • DOI: https://doi.org/10.1007/978-1-4471-5484-6_11

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5483-9

  • Online ISBN: 978-1-4471-5484-6

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