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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Diffuse esophageal spasm surgery

Introduction

Overview

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

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

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

References

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

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