Achalasia secondary prevention: Difference between revisions
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{{Achalasia}} | {{Achalasia}} | ||
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==Overview== | ==Overview== | ||
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==Secondary Prevention== | ==Secondary Prevention== | ||
===Lifestyle changes=== | |||
*Achalasia patients need to eat slowly, chew very well, drink plenty of water with meals, and avoid eating near bedtime. | |||
*It is helpful to sleep with the head elevated by raising the head of the bed or using a wedge pillow. | |||
*[[Proton pump inhibitors]] may help prevent reflux damage after surgery by inhibiting gastric acid secretion. <ref name="pmid22532812">{{cite journal |vauthors=Gockel I, Müller M, Schumacher J |title=Achalasia--a disease of unknown cause that is often diagnosed too late |journal=Dtsch Arztebl Int |volume=109 |issue=12 |pages=209–14 |year=2012 |pmid=22532812 |pmc=3329145 |doi=10.3238/arztebl.2012.0209 |url=}}</ref> | |||
*Foods that can aggravate [[Gastroesophageal Reflux Disease|reflux]], including ketchup and other tomato products, citrus fruits, chocolate, mint, alcohol, and caffeine, should also be avoided. | |||
===Follow-up monitoring=== | |||
*Even after successful treatment of achalasia, swallowing may still deteriorate over time. <ref name="pmid22532812">{{cite journal |vauthors=Gockel I, Müller M, Schumacher J |title=Achalasia--a disease of unknown cause that is often diagnosed too late |journal=Dtsch Arztebl Int |volume=109 |issue=12 |pages=209–14 |year=2012 |pmid=22532812 |pmc=3329145 |doi=10.3238/arztebl.2012.0209 |url=}}</ref> | |||
*It's important to check every year or two with a timed [[barium swallow]] because some may need pneumatic dilations, a repeat [[myotomy]], or even [[esophagectomy]] after many years. | |||
*Some doctors recommend pH testing and endoscopy to check for reflux damage, which may lead to a stricture or [[cancer]] of the esophagus if untreated. | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Otolaryngology]] | |||
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Latest revision as of 17:27, 6 November 2017
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Risk calculators and risk factors for Achalasia secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Many of the causes of achalasia are not preventable. However, treatment of the disorder may help to prevent complications.
Secondary Prevention
Lifestyle changes
- Achalasia patients need to eat slowly, chew very well, drink plenty of water with meals, and avoid eating near bedtime.
- It is helpful to sleep with the head elevated by raising the head of the bed or using a wedge pillow.
- Proton pump inhibitors may help prevent reflux damage after surgery by inhibiting gastric acid secretion. [1]
- Foods that can aggravate reflux, including ketchup and other tomato products, citrus fruits, chocolate, mint, alcohol, and caffeine, should also be avoided.
Follow-up monitoring
- Even after successful treatment of achalasia, swallowing may still deteriorate over time. [1]
- It's important to check every year or two with a timed barium swallow because some may need pneumatic dilations, a repeat myotomy, or even esophagectomy after many years.
- Some doctors recommend pH testing and endoscopy to check for reflux damage, which may lead to a stricture or cancer of the esophagus if untreated.
References
- ↑ 1.0 1.1 Gockel I, Müller M, Schumacher J (2012). "Achalasia--a disease of unknown cause that is often diagnosed too late". Dtsch Arztebl Int. 109 (12): 209–14. doi:10.3238/arztebl.2012.0209. PMC 3329145. PMID 22532812.