Title
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Long-term outcomes of treatments for achalasia
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Author
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Abstract
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Purpose of review Idiopathic achalasia is a primary motility disorder of the esophagus that results in dysphagia, weight loss, and impaired quality of life. Several treatment options are available to gastroenterologists, and insights on the long-term outcome of these modalities are discussed. Recent findings Peroral endoscopic myotomy (POEM) represents a novel endoscopic technique in the treatment of achalasia. Studies on long-term outcomes and comparison to other well-known treatment modalities such as laparoscopic Heller myotomy (LHM) and pneumodilation have recently been published. POEM and LHM both have excellent 2-year success rates for relieving achalasia symptoms, but reflux disease and erosive esophagitis are more prevalent following POEM. Several treatment modalities with excellent long-term outcomes are available for the treatment of achalasia. The different options should be discussed with patients and treatments should be tailored to their individual needs. |
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Language
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English
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Source (journal)
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Current opinion in gastroenterology. - London
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Publication
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Philadelphia
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Lippincott williams & wilkins
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2021
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ISSN
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0267-1379
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DOI
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10.1097/MOG.0000000000000744
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Volume/pages
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37
:4
(2021)
, p. 408-413
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ISI
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000662033000017
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Pubmed ID
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33859101
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Full text (Publisher's DOI)
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