Advances in the Surgical Management of Achalasia Cardia: A Review | Chapter 9 | Medical Science: Updates and Prospects Vol. 2

 

Achalasia cardia, an oesophageal dynamic disorder, is a relatively rare primary motor oesophageal disease characterised by the functional loss of plexus ganglion cells in the distal oesophagus and lower oesophageal sphincter. The management of Achalasia Cardia can be divided into medical and surgical management. This chapter synthesises the literature findings to examine the various surgical procedures available for achalasia cardia, focusing on their respective advantages and potential complications. The surgical management of achalasia cardia has undergone significant advancements over the past decade, particularly following the introduction of Heller's myotomy. Currently, laparoscopic Heller's myotomy, often accompanied by partial fundoplication, is regarded as the gold standard for the surgical treatment of achalasia cardia. Additionally, robotic Heller's myotomy is gradually gaining prominence with the advent of robotic surgical techniques. In contrast, thoracoscopic myotomy is now infrequently performed, and esophagectomy is reserved for patients with end-stage achalasia cardia. The choice of surgical approach is typically individualised, taking into account the patient’s condition and risk profile.

 

Author(s) Details
Kumar H.R.
Taylor’s University School of Medicine Clinical Campus,4700 Sg Buloh, Selangor, Malaysia.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v2/6625