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KMID : 1812020200260020180
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Journal of Neurogastroenterology and Motility
2020 Volume.26 No. 2 p.180 ~ p.203
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2019 Seoul Consensus on Esophageal Achalasia Guidelines
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Jung Hye-Kyung
Hong Su-Jin
Lee Oh-Young
Pandolfino John E
Park Hyo-Jin
Miwa Hiroto
Ghoshal Uday C.
Mahadeva Sanjiv
Oshima Tadayuki
Chen Min Hu
Chua Andrew S. B.
Cho Yu-Kyung
Lee Tae-Hee
Min Yang-Won
Park Chan-Hyuk
Kwon Joong-Goo
Park Moo-In
Jung Kyoung-Won
Park Jong-Kyu
Jung Kee-Wook
Lim Hyun-Chul
Jung Da-Hyun
Kim Do-Hoon
Lim Chul-Hyun
Moon Hee-Seok
Park Jung-Ho
Choi Suck-Chei
Suzuki Hidekazu
Patcharatrakul Tanisa
Wu Justin C. Y.
Lee Kwang-Jae
Tanaka Shinwa
Siah Kewin T. H.
Park Kyung-Sik
Kim Sung-Eun
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Abstract
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Esophageal achalasia is a primary motility disorder characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis. Achalasia is a chronic disease that causes progressive irreversible loss of esophageal motor function. The recent development of high-resolution manometry has facilitated the diagnosis of achalasia, and determining the achalasia subtypes based on high-resolution manometry can be important when deciding on treatment methods. Peroral endoscopic myotomy is less invasive than surgery with comparable efficacy. The present guidelines (the “2019 Seoul Consensus on Esophageal Achalasia Guidelines”) were developed based on evidence-based medicine; the Asian Neurogastroenterology and Motility Association and Korean Society of Neurogastroenterology and Motility served as the operating and development committees, respectively. The development of the guidelines began in June 2018, and a draft consensus based on the Delphi process was achieved in April 2019. The guidelines consist of 18 recommendations: 2 pertaining to the definition and epidemiology of achalasia, 6 pertaining to diagnoses, and 10 pertaining to treatments. The endoscopic treatment section is based on the latest evidence from meta-analyses. Clinicians (including gastroenterologists, upper gastrointestinal tract surgeons, general physicians, nurses, and other hospital workers) and patients could use these guidelines to make an informed decision on the management of achalasia.
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KEYWORD
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Esophageal achalasia, Esophageal motility disorders, Guideline, Manometry, Myotomy
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