Editorial: Assessing Esophageal Function in Achalasia: The Old and the New.
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 29467529.
- Also identified by DOI 10.1038/ajg.2017.445 and PMC identifier 6488015.
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Abstract
Achalasia is currently diagnosed according to the Chicago Classification v3.0 using high-resolution manometry and treatment focuses on disruption of the esophagogastric junction. A paper in this issue examines the utility of a timed barium esophagram with a 13 mm tablet challenge in differentiating achalasia from other diagnoses, finding 100% sensitivity. However, a large proportion of patients with non-achalasia dysphagia are also identified. Another paper in this issue proposes utilizing intraprocedure functional luminal imaging probe measurement during pneumatic dilation as a guide for upsizing dilations. This appears promising, but prospective validation is necessary before this becomes standard of care.
Medical subject headings
- Esophageal Achalasia