Achalasia secondary prevention: Difference between revisions
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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. | |||
*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. | |||
*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== | ||
Revision as of 14:56, 2 November 2017
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Achalasia Microchapters |
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Achalasia secondary prevention On the Web |
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American Roentgen Ray Society Images of Achalasia secondary prevention |
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Risk calculators and risk factors for Achalasia secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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.
- 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.
- 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.