Diffuse esophageal spasm surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The mainstay of treatment for DES is medical therapy. Surgery is usually reserved for patients with manometrically proven, symptomatic and those cases no responding 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 no responding to medical therapy.
• POEM (per-oral endoscopic myotomy) and ballon dilatation are the commonly followed surgical technique
• cumulative clinical success of POEM in all SEDs was 87%

Surgery

• The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

• Surgery is the mainstay of treatment for [disease or malignancy].