Chuah, Kee Huat and Ramasami, Naveen and Mahendran, Hans Alexander and Shanmuganathan, Ganesananthan and Koleth, Glenn George and Voon, Kelvin and Gew, Lai Teck and Jahit, Mohammad Shukri and Lau, Peng Choong and Muthukaruppan, Raman and Said, Rosaida Hj Md and Mahadeva, Sanjiv and Ho, Shiaw-Hooi and Lim, Shyang Yee and Tee, Sze Chee and Siow, Sze Li and Ooi, Wei Keat and Lee, Yeong Yeh (2024) Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow. Journal of Gastroenterology and Hepatology, 39 (3). pp. 431-445. ISSN 0815-9319, DOI https://doi.org/10.1111/jgh.16403.
Full text not available from this repository.Abstract
Disorders of esophagogastric junction (EGJ) outflow, including achalasia and EGJ outflow obstruction, are motility disorders characterized by inadequate relaxation of lower esophageal sphincter with or without impaired esophageal peristalsis. Current guidelines are technical and less practical in the Asia-Pacific region, and there are still massive challenges in timely diagnosis and managing these disorders effectively. Therefore, a Malaysian joint societies' task force has developed a consensus on disorders of EGJ outflow based on the latest evidence, while taking into consideration the practical relevance of local and regional context and resources. Twenty-one statements were established after a series of meetings and extensive review of literatures. The Delphi method was used in the consensus voting process. This consensus focuses on the definition, diagnostic investigations, the aims of treatment outcome, non-surgical or surgical treatment options, management of treatment failure or relapse, and the management of complications. This consensus advocates the use of high-resolution esophageal manometry for diagnosis of disorders of EGJ outflow. Myotomy, via either endoscopy or laparoscopy, is the preferred treatment option, while pneumatic dilatation can serve as a secondary option. Evaluation and management of complications including post-procedural reflux and cancer surveillance are recommended. image
| Item Type: | Article |
|---|---|
| Funders: | Malaysian Society of Gastroenterology and Hepatology |
| Uncontrolled Keywords: | Asia; dysphagia; EGJOO; esophageal cancer; GERD; guideline; Heller myotomy; POEM |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Medicine Department Faculty of Medicine > Surgery Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 14 Nov 2024 07:17 |
| Last Modified: | 14 Nov 2024 07:17 |
| URI: | http://eprints.um.edu.my/id/eprint/45954 |
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