علاج الأكاليزيا من النوع الثالث مع الانقباضات التشنجية عالية السعة على قياس الضغط عالي الدقة

References

DOI: 10.1016/j.gie.2019.04.231

We suggest POEM as the preferred treatment for management of patients with type III achalasia.

Three achalasia subtypes have been defined based on the high-resolution manometry findings in the esophageal body: type I or classic achalasia with low intraesophageal pressure, type II with pan-esophageal pressurization, and type III with high-amplitude spastic contractions.

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.