What Is the Treatment of Achalasia? Evidence-Based Procedural Options
Achalasia requires definitive intervention to relieve obstruction and restore adequate esophageal
emptying. The choice between established procedural approaches is guided by achalasia subtype,
local expertise, and shared decision-making with the patient.
Treatment Approach
Definitive management involves a choice among several established procedural interventions.
The appropriate modality is determined by achalasia type and the setting in which care is delivered.
Full procedural options, selection criteria, and sequencing are in the complete protocol ↓
Treatment Goal
Clinical success is defined by an Eckardt score ≤ 3 — reflecting meaningful
resolution or reduction of dysphagia, regurgitation, chest pain, and weight loss.
References
DOI: 10.1016/j.gie.2019.04.231
- Laparoscopic Heller myotomy, pneumatic dilation, and POEM are effective therapeutic modalities for patients with achalasia.
- Decision between these treatment options should depend on achalasia type, local expertise, and patient preference.
- The Eckardt score is based on the summation of 4 symptoms (dysphagia, regurgitation, chest pain, weight loss) that are graded according to severity, and treatment success is defined as a score ≤3.
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