Achalasia

被引：22
作者：
Beck, William C. [1 ]
Sharp, Kenneth W. [1 ]
机构：
[1] Vanderbilt Univ, Med Ctr, Dept Surg, Div Gen Surg, Nashville, TN 37232 USA
来源：
SURGICAL CLINICS OF NORTH AMERICA | 2011年 / 91卷 / 05期
关键词：
Achalasia; Esophagomyotomy; Lower esophageal sphincter; Esophageal motility; LAPAROSCOPIC HELLER MYOTOMY; RANDOMIZED CONTROLLED-TRIAL; INTRASPHINCTERIC BOTULINUM-TOXIN; LONG-TERM TREATMENT; ESOPHAGEAL ACHALASIA; DOUBLE-BLIND; PNEUMATIC DILATATION; DOR FUNDOPLICATION; BALLOON DILATATION; INJECTION;
D O I：
10.1016/j.suc.2011.06.005
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
This article reviews the diagnosis and treatment of achalasia, a rare esophageal motility disorder characterized by absent peristalsis and failure of the lower esophageal sphincter (LES) to relax. Various treatment options including management with sublingual nitrates or calcium channel blockers, injection of the LES with botulism toxin, pneumatic dilation of the LES, and pneumatic dilation are discussed. Laparoscopic Heller myotomy is minimally invasive with incumbent low morbidity and mortality rates, and combined with a partial fundoplication is a durable, safe, and effective treatment option for patients with achalasia.
引用
收藏
页码：1031 / +
页数：8
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