Abstract
Since the first surgical techniques for esophageal motility disorders were described in the early twentieth century, the Atlas of knowledge in regarding its varied pathology has grown immensely. Workup is multimodal using a variety of functional imaging and physiologic tools. Medical management, while typically first line, is mostly ineffective. Over the past several decades, the Heller myotomy has been the cornerstone of surgical therapy. However, now recently with the advent of the endoscopic myotomy, for both achalasia and nonachalasia motility disorders, procedural therapy has seen showing increasing success in the past 10 years. A small subset of patient will have persistent disease despite maximum medical and surgical management and go on to require esophagectomy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aiolfi A, Asti E, Bonitta G, Siboni S, Bonavina L. Esophageal resection for end-stage achalasia. Am Surg. 2018;84(4):506–11.
Eslick GD. Esophageal cancer: a historical perspective. Gastroenterol Clin N Am. 2009;38(1):1–15. https://doi.org/10.1016/j.gtc.2009.01.003.
Breasted JH. The Edwin Smith Surgical Papyrus, no. Vol. 1, xxiv+596 pages, 8 plates. Chicago: The University of Chicago Press; 1930.
Karamanou M, Markatos K, Papaioannou TG, Zografos G, Androutsos G. Hallmarks in history of esophageal carcinoma. J BUON. 2017;22(4):1088–91.
Brewer LA. History of surgery of the esophagus. Am J Surg. 1980;139(6):730–43. https://doi.org/10.1016/0002-9610(80)90375-X.
Willis ST. Pharmaceutice Rationalis sive Diatriba do Medicamentorum Oerationibus in Humano Corpore. London: Hagae Comitis; 1674.
Heyrovsky H. Idiopathic dilation of the esophagus. In: Hare HA, Martin E, editors. The Therapeutic gazette. vol. 37, no. 3. Detroit: E.G. Swift; 1913. p. 746–7.
Andreollo NA, Lopes LR, Malafaia O. Heller’s myotomy: a hundred years of success! Arq Bras Cir Dig. 2014;27(1):1–2.
Mittal S. Achalasia – A SAGES Wiki Article. 2008:1–6.
Hamer PW, Lamb PJ. The management of achalasia and other motility disorders of the oesophagus. In: Griffin SM, Lamb PJ, editors. Oesophagogastric surgery: a companion to specialist surgical practice. 6th ed. Philadelphia: Elsevier; 2019. p. 251–60.
Vaezi MF, Ph D, Richter JE. Diagnosis and management of achalasia. Am J Gastroenterol. 1999;94(12):3406–12. https://doi.org/10.1111/j.1572-0241.1999.01639.x.
van Hoeij FB, et al. Management of recurrent symptoms after per-oral endoscopic myotomy in achalasia. Gastrointest Endosc. 2018;87(1):95–101. https://doi.org/10.1016/j.gie.2017.04.036.
Kumbhari V, et al. Peroral endoscopic myotomy (POEM) vs laparoscopic Heller myotomy (LHM) for the treatment of Type III achalasia in 75 patients: a multicenter comparative study. Endosc Int Open. 2015;3(03):E195–201. https://doi.org/10.1055/s-0034-1391668.
Shemmeri E, Aye RW, Farivar AS, Bograd AJ, Louie BE. Use of a report card to evaluate outcomes of achalasia surgery: beyond the Eckardt score. Surg Endosc. 2019;34(4):1856–62. https://doi.org/10.1007/s00464-019-06952-2.
Gockel I, Junginger T. The value of scoring achalasia: a comparison of current systems and and the impact on treatment--the Surgeon’s viewpoint. Am Surg. 2007;73(4):327–31.
Amiraian DE, DiSantis DJ. The esophageal bird’s beak sign. Abdom Radiol. 2017;42(5):1608–9. https://doi.org/10.1007/s00261-016-1028-9.
Teles Filho RV, De Azevêdo LHS, De Matos Abe G. 35 years of the classification of rezende: the importance of esophagogram in the context of Chagas disease in Brazil. Arq Gastroenterol. 2019;56(1):106–7. https://doi.org/10.1590/s0004-2803.201900000-05.
Matsubara H, et al. Descriptive rules for achalasia of the esophagus, June 2012: 4th edition. Esophagus. 2017;14(4):275–89. https://doi.org/10.1007/s10388-017-0589-1.
Minami H, et al. New endoscopic indicator of esophageal achalasia: ‘pinstripe pattern. PLoS One. 2015;10(2):1–10. https://doi.org/10.1371/journal.pone.0101833.
Rohof WOA, Bredenoord AJ. Chicago classification of esophageal motility disorders: lessons learned. Curr Gastroenterol Rep. 2017;19(8):37. https://doi.org/10.1007/s11894-017-0576-7.
Kahrilas PJ, et al. The Chicago classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27(2):160–74. https://doi.org/10.1111/nmo.12477.
Chuah SK, et al. Bridging the gap between advancements in the evolution of diagnosis and treatment towards better outcomes in achalasia. Biomed Res Int. 2019;2019:8549187. https://doi.org/10.1155/2019/8549187.
Triantafyllou T, et al. Long-term outcome of myotomy and fundoplication based on intraoperative real-time high-resolution manometry in achalasia patients. Ann Gastroenterol. 2019;32(1):46–51. https://doi.org/10.20524/aog.2018.0326.
George NS, et al. Distribution of esophageal motor disorders in diabetic patients with dysphagia. J Clin Gastroenterol. 2017;51(10):890–5. https://doi.org/10.1097/MCG.0000000000000894.
Shiroky J, Jimenez Cantisano BG, Schneider A. Esophageal motility disorders after bariatric surgery. Dysphagia. 2013;28(3):455–6. https://doi.org/10.1007/s00455-013-9475-8.
Weiss AH, Iorio N, Schey R. Esophageal motility in eosinophilic esophagitis. Rev Gastroenterol Mex (Engl Ed). 2015;80(3):205–13. https://doi.org/10.1016/j.rgmxen.2015.05.002.
Côté-Daigneault J, Poitras P, Rabasa-Lhoret R, Bouin M. Plasma leptin concentrations and esophageal hypomotility in obese patients. Can J Gastroenterol Hepatol. 2015;29(1):49–51. https://doi.org/10.1155/2015/490818.
Tolone S, Savarino E, Yates RB. The impact of bariatric surgery on esophageal function. Ann N Y Acad Sci. 2016;1381(1):98–103. https://doi.org/10.1111/nyas.13107.
Mayberry J. Epidemiology and demographics of achalasia. Gastrointest Endosc Clin N Am. 2001;11(2):235–48.
Sonnenberg A. Hospitalization for achalasia in the United States 1997 – 2006. Dig Dis Sci. 2009;54(8):1680–5. https://doi.org/10.1007/s10620-009-0863-8.
Rohof WO, et al. Outcomes of treatment for achalasia depend on manometric subtype. Gastroenterology. 2013;144(4):718–25. https://doi.org/10.1053/j.gastro.2012.12.027.
de Aquino JLB, Said MM, Pereira DR, do Amaral PC, Lima JCA, Leandro-Merhi VA. Surgical treatment analysis of idiopathic esophageal achalasia. Arq Bras Cir Dig. 2015;28(2):98–101. https://doi.org/10.1590/S0102-67202015000200003.
Villanacci V, et al. An immunohistochemical study of the myenteric plexus in idiopathic achalasia. J Clin Gastroenterol. 2010;44(6):407–10. https://doi.org/10.1097/MCG.0b013e3181bc9ebf.
Goldblum JR, Whyte RI, Orringer MB, Appelman HD. Achalasia: a morphologic study of 42 resected specimens. Am J Surg Pathol. 1994;18(4):327–37.
Kahrilas PJ, Katzka D, Richter JE. Clinical practice update: the use of per-oral endoscopic myotomy in achalasia: expert review and best practice advice from the AGA Institute. Gastroenterology. 2017;153(5):1205–11. https://doi.org/10.1053/j.gastro.2017.10.001.
Esposito D, Maione F, D’Alessandro A, Sarnelli G, De Palma GD. Endoscopic treatment of esophageal achalasia. World J Gastrointest Endosc. 2016;8(2):30–9. https://doi.org/10.4253/wjge.v8.i2.30.
Tustumi F, et al. Esophageal achalasia: a risk factor for carcinoma. A systematic review and meta-analysis. Dis Esophagus. 2017;30(10):1–8. https://doi.org/10.1093/dote/dox072.
Le Page PA, Kwon S, Lord SJ, Lord RV. Esophageal dysmotility after laparoscopic gastric band surgery. Obes Surg. 2014;24(4):625–30. https://doi.org/10.1007/s11695-013-1134-5.
Skubleny D, et al. LINX® magnetic esophageal sphincter augmentation versus Nissen fundoplication for gastroesophageal reflux disease: a systematic review and meta-analysis. Surg Endosc. 2017;31(8):3078–84. https://doi.org/10.1007/s00464-016-5370-3.
Levitt B, Richter JE. Dysphagia lusoria: a comprehensive review. Dis Esophagus. 2007;20(6):455–60. https://doi.org/10.1111/j.1442-2050.2007.00787.x.
Pérez-Molina JA, Molina I. Chagas disease. Lancet. 2018;391(10115):82–94. https://doi.org/10.1016/S0140-6736(17)31612-4.
Bern C. Chagas’ disease. N Engl J Med. 2015;373(5):456–66. https://doi.org/10.1056/NEJMra1410150.
Bilder CR, Goin JC. Gastrointestinal involvement in Chagas disease. NeuroGastroLATAM Rev. 2018;1(4):168–79. https://doi.org/10.24875/ngl.17000002.
Vicentine FPP, Herbella FAM, Allaix ME, Silva LC, Patti MG. Comparison of idiopathic achalasia and Chagas’ disease esophagopathy at the light of high-resolution manometry. Dis Esophagus. 2014;27(2):128–33. https://doi.org/10.1111/dote.12098.
Sánchez-Montalvá A, et al. High resolution esophageal manometry in patients with Chagas disease: a cross-sectional evaluation. PLoS Negl Trop Dis. 2016;10(2):1–11. https://doi.org/10.1371/journal.pntd.0004416.
Ponciano H, Cecconello I, Alves L, Ferreira BD, Gama-Rodrigues J. Cardioplasty and Roux-en-Y partial gastrectomy (Serra-Dória procedure) for reoperation of achalasia. Arq Gastroenterol. 2004;41(3):155–61. https://doi.org/10.1590/s0004-28032004000300004.
de Oliveira GC, da Rocha RLB, Coelho-Neto J d S, Terciotti-Junior V, Lopes LR, Andreollo NA. Esophageal mucosal resection versus esophagectomy: a comparative study of surgical results in patients with advanced megaesophagus. Arq Bras Cir Dig. 2015;28(1):28–31. https://doi.org/10.1590/S0102-67202015000100008.
Alves APR, De Oliveira PG, De Oliveira JM, De Mesquita DM, Dos Santos JHZ. Long-term results of the modified thal procedure in patients with chagasic megaesophagus. World J Surg. 2014;38(6):1425–30. https://doi.org/10.1007/s00268-013-2445-3.
Denaxas K, Ladas SD, Karamanolis GP. Evaluation and management of esophageal manifestations in systemic sclerosis. Ann Gastroenterol. 2018;31(2):165–70. https://doi.org/10.20524/aog.2018.0228.
Denton CP, Khanna D. Systemic sclerosis. Lancet. 2017;390(10103):1685–99. https://doi.org/10.1016/S0140-6736(17)30933-9.
Weston S, Thumshirn M, Wiste J, Camilleri M. Clinical and upper gastrointestinal motility features in systemic sclerosis and related disorders. Am J Gastroenterol. 1998;93(7):1085–9. https://doi.org/10.1111/j.1572-0241.1998.00334.x.
Aggarwal N, Lopez R, Gabbard S, Wadhwa N, Devaki P, Thota PN. Spectrum of esophageal dysmotility in systemic sclerosis on high-resolution esophageal manometry as defined by Chicago classification. Dis Esophagus. 2017;30(12):1–6. https://doi.org/10.1093/dote/dox067.
Kent MS, et al. Comparison of surgical approaches to recalcitrant gastroesophageal reflux disease in the patient with scleroderma. Ann Thorac Surg. 2007;84(5):1710–6. https://doi.org/10.1016/j.athoracsur.2007.06.025.
Mormando J, Barbetta A, Molena D. Esophagectomy for benign disease. J Thorac Dis. 2018;10(3):2026–33. https://doi.org/10.21037/jtd.2018.01.165.
Schlottmann F, Patti MG. Primary esophageal motility disorders: beyond achalasia. Int J Mol Sci. 2017;18(7):1399. https://doi.org/10.3390/ijms18071399.
Bakhos CT, Petrov RV, Parkman HP, Malik Z, Abbas AE. Role and safety of fundoplication in esophageal disease and dysmotility syndromes. J Thorac Dis. 2019;11(4):S1610–7. https://doi.org/10.21037/jtd.2019.06.62.
Code CF, Schlegel JF, Kelley ML, Olsen AM, Ellis FH. Hypertensive gastroesophageal sphincter. Mayo Clin Proc. 1960;35:391–9, PMID 13810841.
Howell M, Moran-Atkin E. Motility disorders of esophagus and surgical interventions. In: Carrau RL, Murry T, Howell RJ, editors. Comprehensive management of swallowing disorders. 2nd ed. San Diego: Plural Publishing; 2016.
Osgood H. œsophagismus, oesophagus. Bost Med Surg J. 1889;120:401–5. https://doi.org/10.1056/NEJM188904251201701.
Ponds FA, et al. Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and treatment outcomes among treatment-naive patients with achalasia: a randomized clinical trial. JAMA. 2019;322(2):134–44. https://doi.org/10.1001/jama.2019.8859.
Roman S, Tutuian R. Esophageal hypertensive peristaltic disorders. Neurogastroenterol Motil. 2012;24(Suppl 1):32–9. https://doi.org/10.1111/j.1365-2982.2011.01837.x.
Inose T, et al. Surgical treatment for nonspecific esophageal motility disorders. Surg Today. 2013;43(8):877–82. https://doi.org/10.1007/s00595-012-0356-9.
Nomura T, et al. Thoracoscopic long myotomy in the prone position to treat rapid esophageal contractions with normal latency. J Clin Gastroenterol. 2015;49(4):320–2. https://doi.org/10.1097/MCG.0000000000000123.
Nomura T, Iwakiri K, Uchida E. Thoracoscopic treatment of a patient with jackhammer esophagus. Dig Endosc. 2014;26(6):753–4. https://doi.org/10.1111/den.12339.
Khan MA, et al. Is POEM the answer for management of spastic esophageal disorders? A systematic review and meta-analysis. Dig Dis Sci. 2017;62(1):35–44. https://doi.org/10.1007/s10620-016-4373-1.
Dawod E, Saumoy M, Xu MM, Kahaleh M. Peroral endoscopic myotomy (POEM) in jackhammer esophagus: a trick of the trade. Endoscopy. 2017;49(10):E254–5. https://doi.org/10.1055/s-0043-115887.
Molena D, Mungo B, Stem M, Feinberg RL, Lidor AO. Outcomes of esophagectomy for esophageal achalasia in the United States. J Gastrointest Surg. 2014;18(2):310–7. https://doi.org/10.1007/s11605-013-2318-y.
Molena D, Yang SC. Surgical management of end-stage achalasia. Semin Thorac Cardiovasc Surg. 2012;24(1):19–26. https://doi.org/10.1053/j.semtcvs.2012.01.015.
Patti MG, et al. Effects of previous treatment on results of laparoscopic Heller myotomy for achalasia. Dig Dis Sci. 1999;44(11):2270–6. https://doi.org/10.1023/A:1026660921776.
Stefanidis D, Richardson W, Farrell T, Kohn G, Augenstein V, Fanelli R. Guidelines for the surgical treatment of esophageal corresponding author: Dimitrios Stefanidis. Surg Endosc. 2012;26(2):296–311. https://doi.org/10.1007/s00464-011-2017-2.
Simchuk EJ, Alderson D. Oesophageal surgery. World J Gastroenterol. 2001;7(6):760–5. https://doi.org/10.3748/wjg.v7.i6.760.
Illés A, et al. Is heller myotomy better than balloon dilation? A meta-analysis. J Gastrointestin Liver Dis. 2017;26(2):121–7. https://doi.org/10.15403/jgld.2014.1121.262.myo.
Campos GM, et al. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg. 2009;249(1):45–57. https://doi.org/10.1097/SLA.0b013e31818e43ab.
Josino IR, et al. Endoscopic dilation with bougies versus balloon dilation in esophageal benign strictures: systematic review and meta-analysis. Gastroenterol Res Pract. 2018;2018:5874870. https://doi.org/10.1155/2018/5874870.
DeMeester SR. Per-oral endoscopic myotomy for achalasia. J Thorac Dis. 2017;9(Suppl 2):S130–4. https://doi.org/10.21037/jtd.2016.09.39.
Rebecchi F, Allaix ME, Schlottmann F, Patti MG, Morino M. Laparoscopic Heller myotomy and fundoplication: what is the evidence? Am Surg. 2018;84(4):481–8.
Kim SS, Guillen-Rodriguez J, Little AG. Optimal surgical intervention for achalasia: laparoscopic or robotic approach. J Robot Surg. 2019;13(3):397–400. https://doi.org/10.1007/s11701-018-0865-7.
Zilberstein B, Franciss MY, Genovesi A, Volpe P, Domene CE, Barchi LC. Pioneer robotic Serra-Doria operation for recurrent achalasia after Heller’s Cardiomyotomy: a ‘new quondam’ procedure. J Laparoendosc Adv Surg Tech A. 2017;27(5):524–8. https://doi.org/10.1089/lap.2017.0076.
Ali AB, et al. Robotic and per-oral endoscopic myotomy have fewer technical complications compared to laparoscopic Heller myotomy. Surg Endosc. 2020;34(7):3191–6. https://doi.org/10.1007/s00464-019-07093-2.
Ortega JA, Madureri V, Perez L. Endoscopic myotomy in the treatment of achalasia. Gastrointest Endosc. 1980;26(1):8–10. https://doi.org/10.1016/S0016-5107(80)73249-2.
Inoue H, et al. Per-oral endoscopic myotomy: a series of 500 patients. J Am Coll Surg. 2015;221(2):256–64. https://doi.org/10.1016/j.jamcollsurg.2015.03.057.
Khashab MA, et al. Peroral endoscopic myotomy: anterior versus posterior approach: a randomized single-blinded clinical trial. Gastrointest Endosc. 2020;91(2):288–97.e7. https://doi.org/10.1016/j.gie.2019.07.034.
Haito-Chavez Y, et al. Comprehensive analysis of adverse events associated with per oral endoscopic myotomy in 1826 patients: an international multicenter study. Am J Gastroenterol. 2017;112(8):1267–76. https://doi.org/10.1038/ajg.2017.139.
El Khoury R, et al. Evaluation of the need for routine esophagram after peroral endoscopic myotomy (POEM). Surg Endosc. 2016;30(7):2969–74. https://doi.org/10.1007/s00464-015-4585-z.
Bechara R, Ikeda H, Inoue H. Peroral endoscopic myotomy for Jackhammer esophagus: to cut or not to cut the lower esophageal sphincter. Endosc Int Open. 2016;04(05):E585–8. https://doi.org/10.1055/s-0042-105204.
Schlottmann F, Luckett DJ, Fine J, Shaheen NJ, Patti MG. Laparoscopic Heller myotomy versus peroral endoscopic myotomy (POEM) for achalasia: a systematic review and meta-analysis. Ann Surg. 2018;267(3):451–60. https://doi.org/10.1097/SLA.0000000000002311.
Repici A, et al. GERD after per-oral endoscopic myotomy as compared with Heller’s myotomy with fundoplication: a systematic review with meta-analysis. Gastrointest Endosc. 2018;87(4):934–43.e18. https://doi.org/10.1016/j.gie.2017.10.022.
Swanstrom LL, Kurian A, Dunst CM, Sharata A, Bhayani N, Rieder E. Long-term outcomes of an endoscopic myotomy for achalasia: the POEM procedure. Ann Surg. 2012;256(4):659–67. https://doi.org/10.1097/SLA.0b013e31826b5212.
Sanaka MR, et al. Obesity does not impact outcomes or rates of gastroesophageal reflux after peroral endoscopic myotomy in achalasia. J Clin Gastroenterol. 2019;00(00):1–6. https://doi.org/10.1097/MCG.0000000000001235.
Hungness ES, Sternbach JM, Teitelbaum EN, Kahrilas PJ, Pandolfino JE, Soper NJ. Per-oral endoscopic myotomy (POEM) after the learning curve: durable long-term results with a low complication rate. Ann Surg. 2016;264(3):508–15. https://doi.org/10.1097/SLA.0000000000001870.
Shea GE, et al. Long-term dysphagia resolution following POEM versus Heller myotomy for achalasia patients. Surg Endosc. 2020;34(4):1704–11. https://doi.org/10.1007/s00464-019-06948-y.
Ren Y, et al. Pre-treatment Eckardt score is a simple factor for predicting one-year peroral endoscopic myotomy failure in patients with achalasia. Surg Endosc. 2017;31(8):3234–41. https://doi.org/10.1007/s00464-016-5352-5.
Iqbal A, et al. Laparoscopic re-operation for failed Heller myotomy. Dis Esophagus. 2006;19(3):193–9. https://doi.org/10.1111/j.1442-2050.2006.00564.x.
Weche M, Saad AR, Richter JE, Jacobs JJ, Velanovich V. Revisional procedures for recurrent symptoms after Heller myotomy and per-oral endoscopic myotomy. J Laparoendosc Adv Surg Tech A. 2020;30(2):1–7. https://doi.org/10.1089/lap.2019.0277.
Galvani C, et al. Symptoms are a poor indicator of reflux status after fundoplication for gastroesophageal reflux disease: role of esophageal functions tests. Arch Surg. 2003;138(5):514–9. https://doi.org/10.1001/archsurg.138.5.514.
Amani M, Fazlollahi N, Shirani S, Malekzadeh R, Mikaeli J. Assessment of pneumatic balloon dilation in patients with symptomatic relapse after failed Heller myotomy: a single center experience. Middle East J Dig Dis. 2015;8(1):57–62. https://doi.org/10.15171/mejdd.2016.08.
Saleh CMG, Ponds FAM, Schijven MP, Smout AJPM, Bredenoord AJ. Efficacy of pneumodilation in achalasia after failed Heller myotomy. Neurogastroenterol Motil. 2016;28(11):1741–6. https://doi.org/10.1111/nmo.12875.
Fumagalli U, et al. Repeated surgical or endoscopic myotomy for recurrent dysphagia in patients after previous myotomy for achalasia. J Gastrointest Surg. 2016;20(3):494–9. https://doi.org/10.1007/s11605-015-3031-9.
Orenstein SB, et al. Peroral endoscopic myotomy (POEM) leads to similar results in patients with and without prior endoscopic or surgical therapy. Surg Endosc. 2015;29(5):1064–70. https://doi.org/10.1007/s00464-014-3782-5.
James DRC, et al. The feasibility, safety and outcomes of laparoscopic re-operation for achalasia. Minim Invasive Ther Allied Technol. 2012;21(3):161–7. https://doi.org/10.3109/13645706.2011.588798.
de Aquino JLB, Said MM, Leandro-Merhi VA, Ramos JPZ, Ichinoche L, Guimarães DM. Esophagocardioplasty as surgical treatment in relapsed non advanced megaesophagus. Arq Bras Cir Dig. 2012;25(1):20–4. https://doi.org/10.1590/S0102-67202012000100005.
Griffiths EA, Devitt PG, Jamieson GG, Myers JC, Thompson SK. Laparoscopic stapled cardioplasty for end-stage achalasia. J Gastrointest Surg. 2013;17(5):997–1001. https://doi.org/10.1007/s11605-012-2111-3.
Ithurralde-Argerich J, Cuenca-Abente F, Faerberg A, Rosner L, Duque-Seguro C, Ferro D. Resection of the gastroesophageal junction and Roux-en-Y reconstruction as a new alternative for the treatment of recurrent achalasia: outcomes in a short series of patients. J Laparoendosc Adv Surg Tech A. 2020;30(2):1–6. https://doi.org/10.1089/lap.2019.0300.
Aiolfi A, Asti E, Bonitta G, Bonavina L. Esophagectomy for end-stage achalasia: systematic review and meta-analysis. World J Surg. 2018;42(5):1469–76. https://doi.org/10.1007/s00268-017-4298-7.
Miller DL, Allen MS, Trastek VF, Deschamps C, Pairolero PC. Esophageal resection for recurrent achalasia. Ann Thorac Surg. 1995;60(4):922–6. https://doi.org/10.1016/0003-4975(95)00522-M.
Farrokhi F, Vaezi MF. Idiopathic (primary) achalasia. Orphanet J Rare Dis. 2007;2:38.
Khashab MA, et al. Peroral endoscopic myotomy anterior versus posterior approach: a randomized single-blinded clinical trial. Gastrointest Endosc. 2020;91(2):288–97.e7. https://doi.org/10.1016/j.gie.2019.07.034.
Glossary
-
Achalasia
-
Adenocarcinoma
-
Barrett’s esophagus
-
Chagas disease
-
Chicago classification
-
Distal esophageal spasm
-
Dysphagia
-
Dysphagia lusoria
-
Eckardt score
-
Edwin Smith Papyrus
-
Ernst Heller
-
Esophagectomy
-
Esophagogastroduodenoscopy
-
Gastroesophageal reflux disease
-
Gastroparesis
-
Haruhiro Inoue
-
Heller myotomy
-
High-resolution manometry
-
Hypercontractile esophagus
-
Jackhammer esophagus
-
Modified Thal procedure
-
Pinstripe pattern
-
Pneumatic dilation
-
Por oral endoscopy myotomy
-
Pseudoachalasia
-
Roux en Y gastric bypass
-
Rezende classification
-
Scleroderma
-
Serra-Dória procedure
-
Squamous cell carcinoma
-
Thomas Willis
-
Trypanosoma Cruzii
-
Upper GI fluoroscopy
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Jureller, M., Moran-Atkin, E. (2021). Esophageal Motility Disorders. In: Zundel, N., Melvin, W.S., Patti, M.G., Camacho, D. (eds) Benign Esophageal Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-51489-1_11
Download citation
DOI: https://doi.org/10.1007/978-3-030-51489-1_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-51488-4
Online ISBN: 978-3-030-51489-1
eBook Packages: MedicineMedicine (R0)