What is the drug of choice for patient with achalasia?
Core tip: Botulinum toxin (BT) injection is the most common and effective pharmacological therapy used in the treatment of achalasia, and is commonly used in the elderly, those with multiple comorbidities, patients at high risk for surgery and as a salvage therapy.
What is the best treatment for achalasia?
Laparoscopic Heller Myotomy and Fundoplication The most effective treatment for achalasia is Heller myotomy (esophagomyotomy), a procedure in which the muscle fibers of the lower esophageal sphincter (LES) are divided.
What is the best treatment for achalasia Type 2?
Table 2
Syndrome | Preferred treatment (s) |
---|---|
Type II achalasia | PD |
Type III achalasia | POEM |
EGJ outflow obstruction | Calcium channel blockers, nitrates |
Absent contractility deemed to be achalasia | PD, LHM, POEM |
Can achalasia be cured?
Although the condition cannot be cured, the symptoms can usually be controlled with treatment. In achalasia, nerve cells in the esophagus (the tube that carries food from the mouth to the stomach) degenerate for reasons that are not known.
How serious is achalasia?
Is achalasia serious? Yes, it can be, especially if it goes untreated. If you have achalasia, you’ll gradually experience increased trouble eating solid foods and drinking liquids. Achalasia can cause considerable weight loss and malnutrition.
Will achalasia ever go away?
There’s no cure for achalasia. Once the esophagus is paralyzed, the muscle cannot work properly again. But symptoms can usually be managed with endoscopy, minimally invasive therapy or surgery.
How long can I live with achalasia?
The prognosis in achalasia patients is excellent. Most patients who are appropriately treated have a normal life expectancy but the disease does recur and the patient may need intermittent treatment.
Which type of achalasia is worse?
Type II achalasia has the best response to treatment, followed by type I achalasia, whereas type III achalasia is the most difficult to treat.
Is apple good for acid reflux?
Apples are a good source of calcium, magnesium, and potassium. It’s thought that these alkalizing minerals may help relieve symptoms of acid reflux. Acid reflux occurs when stomach acid rises into the esophagus.