To date, option of endoscopic or surgical treatment for achalasia has been incidental and mostly directed by physician or patient first choice. But, new studies suggest that manometric subtype of achalasia is an essential determinant of treatment success and might be used in choose the best intervention. As symptoms do not always connect with objective measures in achalasia, better objective metrics are sought for post intervention assessment of treatment success. The traditional way 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.
Treatment of Achalasia includes nonsurgical and surgical approaches:
Injection with Botulinum Toxin
This temporary treatment may help relax the lower sphincter muscle for weeks or still months.
Medications such as calcium channel blockers or long-acting nitrates can be used to relax the lower sphincter muscle.
Widening of the Esophagus
The patient swallows a tube with a balloon at the end which is then inflated to powerfully dilate the esophagus.