To date option of endoscopic or medical treatment for achalasia has been incidental and commonly directed by physician or patient first choice. Butt5 new studies suggest that manometric sub type of achalasia is an essential determinant of treatment success and might be used in choose the best intervention. As Symptoms of Achalasia do not always connect with objective measures in achalasia, better objective metrics are sought for post intervention assessment of treatment success. The traditional method to the treatment of patients with achalasia is based on stretching or cutting the muscle fibers at the esophagogastric joint by pneumatic dilatation or surgical myotomy. Achalasia Surgery treatments may be effective in approximately 85-90 percent of cases.
Treatment of Achalasia includes nonsurgical and surgical approaches:
Injection with Botulinum Toxin
This temporary Treatment of Achalasia may help relax the lower sphincter muscle for weeks or still months.
Medications for example calcium channel blockers or long-acting nitrates can be utilized to relax the lower sphincter muscle.
Widening of the Esophagus
The patient swallows a tube with a balloon at the end which is then swollen to strongly dilate the esophagus.
The Achalasia Surgery for treatment called an esophagomyotomy involves cutting the esophageal sphincter muscle. The operation's success rate is very high and generally permanent. A small number of patients may need further treatment.
Laparoscopic Esophageal Myotomy
Achalasia Surgeryprocess called laparoscopic esophageal myotomy can decrease the pressure of the lower esophageal sphincter muscle and make it easier to swallow. This slidghtly invasive procedure is performed through five tiny incisions measuring between 5mm and 1cm. The surgeon releases the muscles around the lower esophageal sphincter relaxing this valve and allowing food to pass into the stomach more easily.
Minimally Invasive Surgery
For select patients with serious achalasia a minimally invasive surgical technique called laparoscopic esophagomyotomy or the Heller Myotomy may aid.
Like all minimally invasive surgery, surgeons use a thin, telescopic-like instrument called an endoscope which is inserted through a minor incision. The endoscope is connected to a tiny video camera-smaller than a dime-that projects an opinion of the operative site onto video monitors located in the operating room. Minimally invasive surgery techniques offer patients a shorter hospital stay faster recovery and less scarring than traditional procedures.