What are the different operations to treat "achalasia"?

Ediphageal dilation : Usually surgery is not required but esophageal dilation is first line treatment.

Multiple: The main goal of any treatment for achalasia is to relieve your symptoms Botox injection - no good. Balloon dilation - need at least two treatments, overall success approx. 70-80%, 2-5% risk of perforation. Surgery - more invasive, overall success 90%, <1% perf rate poem - (per oral endoscopic myotomy), newest endoscopic operation, may be best.

Options: Botox injection may give temporary relief, but makes subsequent surgery much more difficult. Endoscopic balloon dilation is effective, but requires at least two treatments, and if there is a perforation, surgery will be required emergently. Surgical myotomy is usually performed laparoscopically, but is now being performed at several centers in the U.S. Endoscopically, referred to as poem.