Diffuse esophageal spasm surgery
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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.