ASGE Esophagology General GI Practice Virtual Program (LIVE Virtual) | April 2021-Tailoring Treatment in Achalasia

Video Transcription

Video Summary

In this video, Peter Karelis from Northwestern University in Chicago discusses tailoring treatment in patients with achalasia. He begins by explaining the high-resolution manometry (HRM) plot and the three key metrics derived from it: integrated relaxation pressure, latency of peristaltic contraction, and distal contractile integral. These metrics are used to develop the Chicago Classification of Motility, which categorizes achalasia into different subtypes. Karelis discusses various treatment options, including botulinum toxin injection, pneumatic dilation, laparoscopic hellermyotomy, and peroral endoscopic myotomy (POEM). He explains the pros and cons of each treatment and compares their success rates based on achalasia subtypes. Karelis concludes that POEM is more successful than laparoscopic hellermyotomy for both type 1 and type 3 achalasia, and pneumatic dilation is a good option for type 2 achalasia due to its lower cost. The video highlights the importance of individualizing treatment based on subtype classification.

Asset Subtitle

Peter Kahrilas

Keywords

achalasia

tailoring treatment

high-resolution manometry

Chicago Classification of Motility

treatment options