ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-ASGE Guideline on the Management of Achalasia

Pdf Summary

The ASGE guideline on the management of achalasia provides evidence-based recommendations for the treatment of achalasia, including diagnostic criteria and treatment options. It highlights that peroral endoscopic myotomy (POEM) is the preferred treatment for type III achalasia, with a high success rate. It compares the long-term effectiveness of different treatment modalities, with POEM being more effective than botulinum toxin injection but associated with a higher risk of symptomatic gastroesophageal reflux disease (GERD). The guideline also discusses the management of treatment failures and the importance of considering patient values and preferences. Cost-effectiveness analyses show that pneumatic dilation, laparoscopic Heller myotomy, and POEM are more cost-effective than botulinum toxin injection. Overall, the guideline provides evidence-based recommendations for the management of achalasia.

Meta Tag

Disease Achalasia'

Instrument & Accessory Used Pneumatic Dilation Balloon

Instrument & Accessory Used Endolumenal Imaging Probe

Organ & Anatomy Esophagus

Procedure EGD

Procedure Peroral Endoscopic Myotomy (POEM)

Procedure Botox Injection

Procedure Barium Esophagram

Procedure Laparoscopic Heller Myotomy

Procedure Esophageal Manometry

Procedure Pnuematic Dilation

Keywords

ASGE guideline

achalasia management

evidence-based recommendations

diagnostic criteria

peroral endoscopic myotomy

type III achalasia

success rate

botulinum toxin injection

GERD

cost-effectiveness analyses