The American Journal of Gastroenterology· 2013Q1· Guideline
ACG Clinical Guideline: Diagnosis and Management of Achalasia
- 724citations
- Q1SCImago
- 2013year
Short summary
This guideline presents an evidence-based approach to diagnosing and managing achalasia, a primary motor disorder of the esophagus.
AI-generated from the title and abstract; the full text is not read.
Key points
- Achalasia is characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis.
- Symptoms include dysphagia to solids and liquids, regurgitation, and chest pain.
- Diagnostic clues include endoscopic findings of retained saliva or barium swallow showing a dilated esophagus with a "bird's beak" appearance.
- The guideline provides an evidence-based approach to diagnosis and management.
AI-generated from the title and abstract; the full text is not read.
Abstract
Achalasia is a primary motor disorder of the esophagus characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis. This results in patients' complaints of dysphagia to solids and liquids, regurgitation, and occasional chest pain with or without weight loss. Endoscopic finding of retained saliva with puckered gastroesophageal junction or barium swallow showing dilated esophagus with birds beaking in a symptomatic patient should prompt appropriate diagnostic and therapeutic strategies. In this ACG guideline the authors present an evidence-based approach in patients with achalasia based on a comprehensive review of the pertinent evidence and examination of relevant published data.
The authors' abstract, as published at the source. The American Journal of Gastroenterology, 2013 · DOI ↗
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Field: Gastroenterology
GastroenterologyMedicine