2019 Seoul Consensus on Esophageal Achalasia Guidelines

Jung, Hye-Kyung and Hong, Su Jin and Lee, Oh Young and Pandolfino, John and Park, Hyojin and Miwa, Hiroto and Ghoshal, Uday C. and Mahadeva, Sanjiv and Oshima, Tadayuki and Chen, Minhu and Chua, Andrew S. B. and Cho, Yu Kyung and Lee, Tae Hee and Min, Yang Won and Park, Chan Hyuk and Kwon, Joong Goo and Park, Moo In and Jung, Kyoungwon and Park, Jong Kyu and Jung, Kee Wook and Lim, Hyun Chul and Jung, Da Hyun and Kim, Do Hoon and Lim, Chul-Hyun and Moon, Hee Seok and Park, Jung Ho and Choi, Suck Chei and Suzuki, Hidekazu and Patcharatrakul, Tanisa and Wu, Justin C. Y. and Lee, Kwang Jae and Tanaka, Shinwa and Siah, Kewin T. H. and Park, Kyung Sik and Kim, Sung Eun and M, Korean Soc Neurogastroenterology (2020) 2019 Seoul Consensus on Esophageal Achalasia Guidelines. Journal of Neurogastroenterology and Motility, 26 (2). pp. 180-203. ISSN 2093-0879, DOI https://doi.org/10.5056/jnm20014.

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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.

Item Type: Article
Uncontrolled Keywords: Esophageal achalasia; Esophageal motility disorders; Guideline; Manometry; Myotomy
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 08 Mar 2023 04:11
Last Modified: 08 Mar 2023 04:11
URI: http://eprints.um.edu.my/id/eprint/37787

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