2019 Seoul Consensus on Esophageal Achalasia Guidelines
Hye-Kyung JUNG; Su-Jin HONG; Oh-Young LEE; John PANDOLFINO; Hyojin PARK; Hiroto MIWA; Uday-C GHOSHAL; Sanjiv MAHADEVA; Tadayuki OSHIMA; Minhu CHEN; Andrew-S-B CHUA; Yu-Kyung CHO; Tae-Hee LEE; Yang-Won MIN; Chan-Hyuk PARK; Joong-Goo KWON; Moo-In PARK; Kyoungwon JUNG; Jong-Kyu PARK; Kee-Wook JUNG; Hyun-Chul LIM; Da-Hyun JUNG; Do-Hoon KIM; Chul-Hyun LIM; Hee-Seok MOON; Jung-Ho PARK; Suck-Chei CHOI; Hidekazu SUZUKI; Tanisa PATCHARATRAKUL; Justin-C-Y WU; Kwang-Jae LEE; Shinwa TANAKA; Kewin-T-H SIAH; Kyung-Sik PARK; Sung-Eun KIM.
Journal of Neurogastroenterology and Motility
; : 180-203, 2020.
Artículo
| WPRIM | ID: wpr-833835
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.
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WPRO
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