Diffuse esophageal spasm surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]

Overview

The mainstay of treatment for DES is medical therapy. Surgery is usually reserved for patients with manometrically proven, symptomatic and those cases refractory to medical therapy

Indications

Surgical intervention is not recommended for the management of DES. Surgery is usually reserved for patients with manometrically proven, symptomatic and those cases refractory to medical therapy.

Surgery

POEM (per-oral endoscopic myotomy) and ballon dilatation are the commonly followed surgical technique.^[1]
The cumulative clinical success of POEM in all SEDs(spastic esophageal disorders) was 87% based on eight observational studies involving 179 patients.^[2]

References

↑ Roman S, Kahrilas PJ (2012). “Distal esophageal spasm”. Dysphagia. 27 (1): 115–23. doi:10.1007/s00455-011-9388-3. PMID 22215281.
↑ Khan MA, Kumbhari V, Ngamruengphong S, Ismail A, Chen YI, Chavez YH; et al. (2017). “Is POEM the Answer for Management of Spastic Esophageal Disorders? A Systematic Review and Meta-Analysis”. Dig Dis Sci. 62 (1): 35–44. doi:10.1007/s10620-016-4373-1. PMID 27858325.

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[pmid22215281-1] Roman S, Kahrilas PJ (2012). “Distal esophageal spasm”. Dysphagia. 27 (1): 115–23. doi:10.1007/s00455-011-9388-3. PMID 22215281.

[pmid27858325-2] Khan MA, Kumbhari V, Ngamruengphong S, Ismail A, Chen YI, Chavez YH; et al. (2017). “Is POEM the Answer for Management of Spastic Esophageal Disorders? A Systematic Review and Meta-Analysis”. Dig Dis Sci. 62 (1): 35–44. doi:10.1007/s10620-016-4373-1. PMID 27858325.

[1]

[2]

Diffuse esophageal spasm surgery

Overview

Indications

Surgery

References

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