KMID : 0614620190730050294
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Korean Journal of Gastroenterology 2019 Volume.73 No. 5 p.294 ~ p.298
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Management of Achalasia: Expert Consensus Statements
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Choe A-Reum
Jung Hye-Kyung
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Abstract
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Achalasia is a motility disorder of the esophagus characterized by absence of peristalsis and failure of relaxation of lower esophagus sphincter. The introduction of high resolution manometry (HRM) and per-oral endoscopic myotomy (POEM) has made a new chapter in diagnosis and treatment of achalasia. HRM allows classify according to the subtype of achalasia, and help predict prognosis and therapeutic response. POEM is a minimally invasive, effective option for treating achalasia. The management of achalasia required tailored application of various therapies such as botox injection, pneumatic balloon dilatation, POEM, or Heller¡¯s myotomy. In this review, we state the important aspects of diagnosis as well as management of achalasia.
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KEYWORD
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Esophageal achalasia, Manometry, Myotomy
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