Korean J Helicobacter  Up Gastrointest Res Search


Korean J Helicobacter  Up Gastrointest Res > Volume 14(2); 2014 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2014;14(2):87-90.
DOI: https://doi.org/10.7704/kjhugr.2014.14.2.87    Published online June 10, 2014.
Surgical Treatment of Achalasia
Jin Jo Kim
Division of Gastrointestinal Surgery, Department of Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea. kjj@catholic.ac.kr
식도이완불능증의 외과적 치료
가톨릭대학교 의과대학 외과학교실 위장관외과
Achalasia is a rare motility disorder of the esophagus characterized by the absence of peristalsis of the esophageal body and failure of relaxation of the lower esophageal sphincter, which is caused by loss of ganglionic cells of myenteric plexus. Medical therapy is usually ineffective and pneumatic dilation and esophagocardiomyotomy are known to be the treatment of choice. In the past, pneumatic dilation was preferred because of the invasiveness of myotomy even though, the posttreatment outcome was better in myotomy than in pneumatic dilation. However, after introduction of minimally invasive surgery for myotomy, such preference is moving towards myotomy. In this article, current trends of minimally invasive surgery in the treatment of achalasia and the surgical outcome of minimally invasive myotomy in comparison with that of pneumatic dilation are reviewed.
Key Words: Esophageal achalasia; Esophagocardiomyotomy; Laparoscopy

Editorial Office
Lotte Gold Rose II Room 917, 31 Seolleung-ro 86-gil, Gangnam-gu, Seoul 06193, Korea
Tel: +82-2-717-5543    Fax: +82-2-565-9947    E-mail: helicojournal@smileml.com                

Copyright © 2024 by Korean College of Helicobacter and Upper Gastrointestinal Research.

Developed in M2PI

Close layer
prev next