Esophageal Achalasia: Diagnostic Evaluation
Federica Riccio, Mario Costantini, Renato Salvador
Abstract
A precise diagnosis is key to the successful treatment of achalasia. Barium swallow, upper endoscopy and high-resolution manometry provide the necessary information about a patient's anatomy, absence of other diseases, and type of achalasia (I, II, III). High-resolution manometry also has prognostic value, the best results of treatment being obtained in type II achalasia according to the Chicago classification. Abdominal CT scanning and endoscopic ultrasound might be warranted if an underlying malignancy is suspected.
Topics & Concepts
AchalasiaMedicineAbdominal surgeryRadiologyEndoscopyHigh resolution manometryMalignancyEsophagusCardiothoracic surgeryInternal medicineGastroenterologyGeneral surgerySurgeryGastroesophageal reflux and treatmentsEsophageal and GI PathologyEosinophilic Esophagitis