Achalasia

Alternative names:

esophageal achalasia

Treatment:

The approach to treatment is to reduce the pressure at the lower esophageal sphincter. This may be achieved by manipulating the lower esophagus sphincter by special instruments.

Medications such as long-acting nitrates or calcium channel blockers can also be used to lower the pressure at the lower esophagus sphincter. Sometimes, botulinum toxin is injected to relax the sphincter.

Surgery to decrease the pressure in the lower sphincter (called an esophagomyotomy) may be indicated if other interventions fail.

Expectations (prognosis):

The effectiveness of treatment varies from 60 to 85%, depending on the procedure.

Complications:

• tearing (perforation) of the esophagus
• regurgitation of acid or food from the stomach into the esophagus (reflux)

Calling your health care provider:

Call for an appointment with your health care provider if persistent difficulty swallowing or painful swallowing develops, or if symptoms persist despite treatment for esophageal achalasia.

Call your health care provider if vomiting blood or other new symptoms develop.