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2019 Seoul Consensus on Esophageal Achalasia Guidelines

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Author(s)
Hye-Kyung JungSu Jin HongOh Young LeeJohn PandolfinoHyojin ParkHiroto MiwaUday C GhoshalSanjiv MahadevaTadayuki OshimaMinhu ChenAndrew S B ChuaYu Kyung ChoTae Hee LeeYang Won MinChan Hyuk ParkJoong Goo KwonMoo In ParkKyoungwon JungJong Kyu ParkKee Wook JungHyun Chul LimDa Hyun JungDo Hoon KimChul-Hyun LimHee Seok MoonJung Ho ParkSuck Chei ChoiHidekazu SuzukiTanisa PatcharatrakulJustin C Y WuKwang Jae LeeShinwa TanakaKewin T H SiahKyung Sik ParkSung Eun Kim
Publication Year
2020
Keyword
Esophageal achalasiaEsophageal motility disordersGuidelineManometryMyotomy
Abstract
Esophageal achalasia is a primary motility disorder characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis. Achalasia is a chronic disease that causes progressive irreversible loss of esophageal motor function. The recent development of high-resolution manometry has facilitated the diagnosis of achalasia, and determining the achalasia subtypes based on high-resolution manometry can be important when deciding on treatment methods. Peroral endoscopic myotomy is less invasive than surgery with comparable efficacy. The present guidelines (the “2019 Seoul Consensus on Esophageal Achalasia Guidelines”) were developed based on evidence-based medicine; the Asian Neurogastroenterology and Motility Association and Korean Society of Neurogastroenterology and Motility served as the operating and development committees, respectively. The development of the guidelines began in June 2018, and a draft consensus based on the Delphi process was achieved in April 2019. The guidelines consist of 18 recommendations: 2 pertaining to the definition and epidemiology of achalasia, 6 pertaining to diagnoses, and 10 pertaining to treatments. The endoscopic treatment section is based on the latest evidence from meta-analyses. Clinicians (including gastroenterologists, upper gastrointestinal tract surgeons, general physicians, nurses, and other hospital workers) and patients could use these guidelines to make an informed decision on the management of achalasia.
Alternative Title
2019 Seoul Consensus on Esophageal Achalasia Guidelines
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine (의과대학)
Citation
Journal of Neurogastroenterology and Motility (JNM), Vol.26(2) : 180-203, 2020
Type
Article
ISSN
2093-0887
DOI
10.5056/jnm20014
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/42683
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