9 doctors weighed in:
What do you recommend for esophageal achalasia?
9 doctors weighed in

Dr. Pavel Conovalciuc
Family Medicine
5 doctors agree
In brief: Hard question
Although there is no definite cure, several therapies have been shown to be effective - dilation of the esophagus, certain medications such as nitroglycerine, Nifedipine may be helpful and finally if all fails, especially esophageal dilations, surgery.

In brief: Hard question
Although there is no definite cure, several therapies have been shown to be effective - dilation of the esophagus, certain medications such as nitroglycerine, Nifedipine may be helpful and finally if all fails, especially esophageal dilations, surgery.
Dr. Pavel Conovalciuc
Dr. Pavel Conovalciuc
Thank
Dr. Thomas Birdas
Surgery - Thoracic
1 doctor agrees
In brief: Surgery
For healthy patients, surgery (heller myotomy) is the best and most long-lasting treatment.
Alternatives include endoscopic dilation and Botox injection at the lower esophageal sphincter. While these can also work, their effect is typically short-lived.

In brief: Surgery
For healthy patients, surgery (heller myotomy) is the best and most long-lasting treatment.
Alternatives include endoscopic dilation and Botox injection at the lower esophageal sphincter. While these can also work, their effect is typically short-lived.
Dr. Thomas Birdas
Dr. Thomas Birdas
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Dr. David Earle
Surgery
In brief: Depends
Endoscopic balloon dilation is less invasive, but slightly more risky and less effective than surgical myotomy.
There is a new endoscopic method for myotomy called per oral endoscopic myotomy (poem) being done in a few centers in the us.

In brief: Depends
Endoscopic balloon dilation is less invasive, but slightly more risky and less effective than surgical myotomy.
There is a new endoscopic method for myotomy called per oral endoscopic myotomy (poem) being done in a few centers in the us.
Dr. David Earle
Dr. David Earle
Thank
1 comment
Dr. Michel Kahaleh
POEM can be offered in the endoscopy suite. Under general anesthesia in unit where CO2 is available
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Board Certified, Internal Medicine - Cardiology
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