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What is the best primary therapy for achalasia: medical or surgical treatment? Who owns achalasia?

Authors
  • Allaix, Marco E
  • Patti, Marco G
Type
Published Article
Journal
Journal of Gastrointestinal Surgery
Publisher
Springer-Verlag
Publication Date
Sep 01, 2013
Volume
17
Issue
9
Pages
1547–1549
Identifiers
DOI: 10.1007/s11605-013-2252-z
PMID: 23780637
Source
Medline
License
Unknown

Abstract

This article reviews the medical and surgical modalities for the treatment of esophageal achalasia. It compares and critically analyzes the short- and long-term outcomes of pneumatic dilatation and laparoscopic Heller myotomy. Today, laparoscopic Heller myotomy is considered in most centers to be the procedure of choice for the treatment of achalasia. Nevertheless, the success of either procedure is based on the careful selection of the patients and on the surgeon's and gastroenterologist's level of expertise.

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