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Canadian Journal of Gastroenterology
Volume 14 (2000), Issue 5, Pages 441-443
http://dx.doi.org/10.1155/2000/679608
Mini-Review

Achalasia: Dilation, Injection or Surgery?

Alberto Peracchia and Luigi Bonavina

Department of Surgery, University of Milan, Ospedale Maggiore Policlinico IRCCS, Milano, Italy

Received 2 December 1998; Revised 9 December 1998

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Achalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no controlled studies comparing modern endoscopic and surgical techniques are available, laparoscopic surgery is emerging as the initial intervention of choice.