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Minimally Invasive Treatment of Esophageal Achalasia

  • Charlotte Rabl
  • Guilherme M. CamposEmail author
Chapter

Abstract

Achalasia is a rare neurodegenerative disease of the esophagus and the lower esophageal sphincter characterized by the inability of the lower esophageal sphincter to relax and by failure of esophageal body peristalsis, most commonly resulting in dysphagia. Current treatment options are directed at palliation of symptoms. Therapies include pharmacological, endoscopic and surgical therapy. Endoscopic dilation was the first line of therapy until the introduction of minimally invasive surgical techniques in the early 1990s that paved the way for the introduction of laparoscopic myotomy. Laparoscopic Heller myotomy with partial fundoplication performed at an experienced center is currently the first line of therapy because it offers a low complication rate, the most durable symptom relief, and the lowest incidence of postoperative gastro-esophageal reflux.

Keywords

Esophageal achalasia Heller myotomy Laparoscopic surgery Endoscopic dilation Review 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of SurgeryParacelsus Medical University SalzburgSalzburgAustria
  2. 2.Division of Bariatric and Gastrointestinal Surgery, Department of SurgeryVirginia Commonwealth UniversityRichmondUSA

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