A member asked:

Which one out of three types 1,2 & 3 is the most advance stage of achalasia?

A doctor has provided 1 answer
Dr. Hiroshi Mashimo answered

Specializes in Gastroenterology

Depends type2 is les: depends on what is meant by "advanced"; natural progression still poorly understood. But success of therapy differs: Type2 easiest to treat w nearly 100% success on "pneumatic balloon dilation" (endoscopic ) and 93% on "laparoscopic Heller myotomy" (surgery) - procedures done at major expert centers. Type1 success ~80%. Type3 best w surgery: 86% success vs 40% by balloon. Happy to consult further

Answered 6/6/2017

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