What it treats
Achalasia makes it difficult for food to pass through the esophagus because of impaired movement and relaxation of its lower sphincter.
Symptoms and when to seek care
Difficulty swallowing solids or liquids, regurgitation, chest pain or weight loss.
Tests and diagnosis
Endoscopy, esophagram and manometry complement one another to confirm the diagnosis and guide treatment.
Treatment options
Options are reviewed according to achalasia type and patient characteristics. Heller myotomy with Dor fundoplication is a surgical option.
How it is performed
Myotomy divides the muscle fibers that hinder passage into the stomach; a partial fundoplication may be added to reduce reflux.
Recovery, follow-up and risks
Diet progression and follow-up are individualized. Swallowing and possible reflux are monitored. Risks include perforation, bleeding and persistent symptoms.
Frequently asked questions
Is endoscopy alone enough to diagnose it?
Additional tests are usually needed; manometry is essential to define the motility disorder.
This is general information and does not replace a medical assessment. Clinical information source.
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