Diffuse esophageal spasm surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{ | {{Diffuse esophageal spasm}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MSI}} | ||
==Overview== | ==Overview== | ||
The mainstay of treatment for DES is medical therapy. Surgery is usually reserved for patients with manometrically proven, symptomatic and those cases | 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 | *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 | *POEM (per-oral endoscopic myotomy) and ballon dilatation are the commonly followed surgical technique.<ref name="pmid22215281">{{cite journal| author=Roman S, Kahrilas PJ| title=Distal esophageal spasm. | journal=Dysphagia | year= 2012 | volume= 27 | issue= 1 | pages= 115-23 | pmid=22215281 | doi=10.1007/s00455-011-9388-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22215281 }}</ref> | ||
*The cumulative clinical success of POEM in all SEDs(spastic esophageal disorders) was 87% based on eight observational studies involving 179 patients.<ref name="pmid27858325">{{cite journal| author=Khan MA, Kumbhari V, Ngamruengphong S, Ismail A, Chen YI, Chavez YH et al.| title=Is POEM the Answer for Management of Spastic Esophageal Disorders? A Systematic Review and Meta-Analysis. | journal=Dig Dis Sci | year= 2017 | volume= 62 | issue= 1 | pages= 35-44 | pmid=27858325 | doi=10.1007/s10620-016-4373-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27858325 }}</ref> | *The cumulative clinical success of POEM in all SEDs(spastic esophageal disorders) was 87% based on eight observational studies involving 179 patients.<ref name="pmid27858325">{{cite journal| author=Khan MA, Kumbhari V, Ngamruengphong S, Ismail A, Chen YI, Chavez YH et al.| title=Is POEM the Answer for Management of Spastic Esophageal Disorders? A Systematic Review and Meta-Analysis. | journal=Dig Dis Sci | year= 2017 | volume= 62 | issue= 1 | pages= 35-44 | pmid=27858325 | doi=10.1007/s10620-016-4373-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27858325 }}</ref> | ||
Latest revision as of 14:12, 4 December 2017
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Diffuse esophageal spasm Microchapters |
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Differentiating Diffuse esophageal spasm from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Diffuse esophageal spasm surgery On the Web |
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American Roentgen Ray Society Images of Diffuse esophageal spasm surgery |
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Risk calculators and risk factors for Diffuse esophageal spasm surgery |
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.