By P. Marco Fisichella, Fernando A. M. Herbella, Marco G. Patti
each one bankruptcy describes a really particular element of Achalasia by way of its identified professional. present diagnostic and administration options of Achalasia, in addition to the simplified operative methods with appropriate technical issues, are defined for the categorical goal audience.
The therapy of Achalasia is advanced and typically played in really good tertiary-care centres. The Editors' major objective is to render this disorder extra comprehensible and obtainable to citizens, fellows, and experts in either the surgical disciplines (general surgical procedure and thoracic surgical procedure) and in gastroenterology.
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Extra info for Achalasia: Diagnosis and Treatment
Manometric heterogeneity in patients with idiopathic achalasia. Gastroenterology. 2001;120:789–98. 16. Pandolfino JE, Ghosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ. Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol. 2008; 103:27–37. 17. Pandolfino JE, Kwiatek MA, Nealis T, Bulsiewicz W, Post J, Kahrilas PJ. Achalasia: a new clinically rele- 21 18. 19. 20. 21. 22. 23. vant classification by high- resolution manometry.
2. Fisichella PM, Raz D, Palazzo F, Niponmick I, Patti MG. Clinical, radiological and manometric profile in 145 patients with untreated achalasia. World J Surg. 2008;32:1974–9. 3. Goldenberg SP, Burrell M, Fette GG, Vos C, Traube M. Classic and vigorous achalasia: a comparison of manometric, radiographic, and clinical findings. Gastroenterology. 1991;101:743–8. 4. Eckardt VF, Stauf B, Bernhard G. Chest pain in achalasia: patient characteristics and clinical course. Gastroenterology. 1999;116(6):1300–4.
5 Circulating blood forms (trypomastigotes) of Trypanossoma cruzy. Chagas disease causative parasite (Courtesy: Dr. Clara Lúcia Barbiéri Mestriner. Chair, Department of Parasitology, Federal University of São Paulo, São Paulo, Brazil) CDE and IA have a similar clinical presentation. Dysphagia is the most frequent symptom in both situations (almost 100 % of cases). Other symptoms such as regurgitation, weight loss, heartburn, chest pain and cough are also very common for the two diseases. 5 to 18 years in CDE series versus 9 months to 8 years in IA series, probably as a result of the poor conditions of underdeveloped countries, where CD is endemic, with insufficient medical assistance and delay in diagnosis and treatment .