European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations
Top Cited Papers
Open Access
- 5 February 2020
- journal article
- review article
- Published by Wiley in United European Gastroenterology Journal
- Vol. 8 (1), 13-33
- https://doi.org/10.1177/2050640620903213
Abstract
Achalasia is a primary motor disorder of the oesophagus characterised by absence of peristalsis and insufficient lower oesophageal sphincter relaxation. With new advances and developments in achalasia management, there is an increasing demand for comprehensive evidence-based guidelines to assist clinicians in achalasia patient care. Guidelines were established by a working group of representatives from United European Gastroenterology, European Society of Neurogastroenterology and Motility, European Society of Gastrointestinal and Abdominal Radiology, and the European Association of Endoscopic Surgery in accordance with the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. A systematic review of the literature was performed and the certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Recommendations were voted upon using a nominal group technique. These guidelines focus on the definition of achalasia, treatment aims, diagnostic tests, medical, endoscopic and surgical therapy, management of treatment failure, follow-up and oesophageal cancer risk. These multidisciplinary guidelines provide a comprehensive evidence-based framework with recommendations on the diagnosis, treatment and follow-up of adult achalasia patients.Keywords
This publication has 150 references indexed in Scilit:
- Outcomes of Esophagectomy for Esophageal Achalasia in the United StatesJournal of Gastrointestinal Surgery, 2014
- Laparoscopic Heller's myotomy versus pneumatic dilation in the treatment of idiopathic achalasia: a meta-analysis of randomized, controlled trialsGastrointestinal Endoscopy, 2013
- Predictive Factors Associated with the Success of Pneumatic Dilatation in Japanese Patients with Primary Achalasia: A Study Using High-Resolution ManometryDigestion, 2013
- Intraoperative assessment of esophagogastric junction distensibility during per oral endoscopic myotomy (POEM) for esophageal motility disordersSurgical Endoscopy, 2012
- Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia: results of a multicenter, prospective, randomized-controlled trialSurgical Endoscopy, 2011
- Predictors for outcome of failure of balloon dilatation in patients with achalasiaGut, 2010
- Temporary self-expanding metallic stents and pneumatic dilation for the treatment of achalasia: a prospective study with a long-term follow-upDiseases of the Esophagus, 2010
- Evolutive Radiological Changes of the Esophagus in Patients with Achalasia Who Did Not Receive TreatmentSurgery Today, 2007
- Relationship between subjective and objective outcome measures after Heller myotomy and Dor fundoplication for achalasiaSurgical Endoscopy, 2005
- Esophageal resection for recurrent achalasiaThe Annals of Thoracic Surgery, 1995