9 doctors weighed in:
What is the treatment for esophageal achalasia?
9 doctors weighed in

Dr. Frederick Shieh
Internal Medicine - Gastroenterology
2 doctors agree
In brief: Several
The main treatments are 1) medications, 2) endoscopic, and 3) surgical.
Which one to choose depends on how severe the symptoms are.

In brief: Several
The main treatments are 1) medications, 2) endoscopic, and 3) surgical.
Which one to choose depends on how severe the symptoms are.
Dr. Frederick Shieh
Dr. Frederick Shieh
Thank
1 comment
Dr. Michel Kahaleh
Myotomy can now be performed endoscopically , the procedure is called (peroral endoscopic myotomy )
Dr. Elizabeth Yen
Pediatrics - Gastroenterology
1 doctor agrees
In brief: Medical/surgical
Medical treatment is with calcium channel blockers.
Endoscopic treatment is with balloon dilation of the lower esophageal sphincter, but typically has to be repeated several times. Surgical treatment is a heller myotomy. Your gastroenterologist can help you decide which treatment is best for you.

In brief: Medical/surgical
Medical treatment is with calcium channel blockers.
Endoscopic treatment is with balloon dilation of the lower esophageal sphincter, but typically has to be repeated several times. Surgical treatment is a heller myotomy. Your gastroenterologist can help you decide which treatment is best for you.
Dr. Elizabeth Yen
Dr. Elizabeth Yen
Thank
1 comment
Dr. Michel Kahaleh
Myotomy can now be performed endoscopically , the procedure is called (peroral endoscopic myotomy )
Dr. David Earle
Surgery
In brief: Opening the valve
All treatment for achalasia is aimed at permanently opening the valve entering the stomach.
The most ineffective is Botox injection. Endoscopic dilation is ok, but not as good or permanent as surgically opening the valve, usually done laparoscopically. Endoscopic myotomy (cutting the muscle) is becoming more available. It is called poem - per oral endoscopic myotomy.

In brief: Opening the valve
All treatment for achalasia is aimed at permanently opening the valve entering the stomach.
The most ineffective is Botox injection. Endoscopic dilation is ok, but not as good or permanent as surgically opening the valve, usually done laparoscopically. Endoscopic myotomy (cutting the muscle) is becoming more available. It is called poem - per oral endoscopic myotomy.
Dr. David Earle
Dr. David Earle
Thank
1 comment
Dr. Michel Kahaleh
POEM can be offered in the endoscopy suite safely and efficiently for the treatment of achalasia
Dr. Thomas Birdas
Surgery - Thoracic
In brief: Surgery
There are alternatives, but surgery (heller myotomy) is the best and most lasting treatment.
It can be done with minimally invasive techniques and recovery is fast.

In brief: Surgery
There are alternatives, but surgery (heller myotomy) is the best and most lasting treatment.
It can be done with minimally invasive techniques and recovery is fast.
Dr. Thomas Birdas
Dr. Thomas Birdas
Thank
1 comment
Dr. Michel Kahaleh
Myotomy can now be performed endoscopically , the procedure is called (peroral endoscopic myotomy ) or POEM
In brief: Multiple options
Currently, there are multiple options for treating achalasia.
Medications have limited success. Endoscopic treatment (via a flexible scope passed from the mouth into the esophagus) can be used to dilate (balloon pressure) or temporarily weaken (botox injection) the lower esophageal sphincter. Surgery involving laparoscopic release of the sphincter (myotomy) is a very good option for most patient.

In brief: Multiple options
Currently, there are multiple options for treating achalasia.
Medications have limited success. Endoscopic treatment (via a flexible scope passed from the mouth into the esophagus) can be used to dilate (balloon pressure) or temporarily weaken (botox injection) the lower esophageal sphincter. Surgery involving laparoscopic release of the sphincter (myotomy) is a very good option for most patient.
Dr. Stephen Cassivi
Dr. Stephen Cassivi
Thank
1 comment
Dr. Michel Kahaleh
Myotomy can now be performed endoscopically , the procedure is called (peroral endoscopic myotomy ) or POEM
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Dr. Tonga Nfor
Board Certified, Internal Medicine - Cardiology
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