INTERNATIONAL SOCIETY FOR DISEASES OF THE ESOPHAGUS
In Brazil, despite being a Country with high incidence of achalasia secondary to Chagas Disease, outside the endemic areas and in private practice, what we see more is Idiopathic Achalasia.
As a surgeon, my first line for treating achalasia is laparoscopic Heller myotomy plus partial fundoplication. At least in my hands, as a surgeon dedicated to upper GI/esophageal surgery, it is a very standard procedure, complication rates are very low and the outcomes are excellent.
POEM seems an excellent choice for first line treatment, but we have few experience in this procedure and fear of the complications that might occur in the learning curve.
In this era in which we have several option to treat patients with achalasia, what do you recommend to patients as the first line treatment for achalasia?
We are interested to hear your opinion!
© International Society for Diseases of the Esophagus 2016