2019 Seoul Consensus on Esophageal Achalasia Guidelines

Jung, Hye‐Kyung; Hong, Su Jin; Lee, Oh Young; Pandolfino, John E.; Park, Hyo-Jin; Miwa, Hiroto; Ghoshal, Uday C; Mahadeva, Sanjiv; Oshima, Tadayuki; Chen, Minhu; Chua, Andrew Seng Boon; Cho, Yu Kyung; Lee, Tae Hee; Ye, Min; Park, Chan Hyuk; Kwon, Joong Goo; Park, Moo In; Jung, Kyoungwon; Park, Jong Kyu; Jung, Kee Wook; Lim, Hyun Chul; Jung, Da Hyun; Kim, Do Hoon; Lim, Chul-Hyun; Moon, Hee Seok; Park, Jung Ho; Choi, Suck Chei; Suzuki, Hidekazu; Patcharatrakul, Tanisa; Wu, Justin C.Y.; Lee, Kwang Jae; Tanaka, Shinwa; Siah, Kewin Tien Ho; Park, Kyung Sik; Kim, Sung Eun

doi:10.5056/jnm20014

Cited by 81 publications

(85 citation statements)

References 163 publications

(191 reference statements)

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“…The advent of better diagnostic modalities such as high-resolution manometry and effective minimally invasive endoscopic therapy, peroral endoscopic myotomy (POEM), has led to an increased awareness of achalasia in Asia, and globally, in the last few years. 25 Similarly, with the growing reports of promising pharmacological and non-pharmacological therapy, together with concerted efforts by Asian neurogastroenterology experts to standardize diagnostic methods, it is hopeful that increased awareness to diagnose and treat gastroparesis in Asia will happen in the not too distant future.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practice Survey of Gastroparesis in Asia by Asian Neurogastroenterology and Motility Association

Oshima

Siah

Kim

et al. 2021

J Neurogastroenterol Motil

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practice Survey of Gastroparesis in Asia by Asian Neurogastroenterology and Motility Association

Oshima

Siah

Kim

et al. 2021

J Neurogastroenterol Motil

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“…91 Current guidelines recommend POEM rather than LHM to be considered for the treatment of type III achalasia because it enables an extended myotomy, but they also state that POEM is comparable to LHM for treatment-naive patients with achalasia. 61,73,92 The initially observed higher incidence of GERD after POEM certainly has to be evaluated further in more detail and can guide treatment options in patients with concomitant reflux disease. Overall, the Chicago Classification remains highly relevant and useful to guide therapy.…”

Section: Should the Chicago Classification Really Influence The Treatmentioning

confidence: 99%

Achalasia: physiology and diagnosis

Rieder

Fernandez‐Becker

Sarosiek

et al. 2020

Annals of the New York Academy of Sciences

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Achalasia is a rare motility disorder with incomplete relaxation of the lower esophageal sphincter and ineffective contractions of the esophageal body. It has been hypothesized that achalasia does not result from only one pathway but rather involves a combination of infectious, autoimmune, and familial etiological components. On the basis of other observations, a novel hypothesis suggests that a muscular form of eosinophilic esophagitis is involved in the pathophysiology of achalasia in some patients. This appears to progressively diminish the myenteric plexus at stage III, gradually destroy it at stage II, and finally eliminate it at stage I, the most advanced and final stage of achalasia. Although high-resolution manometry has identified these three different types of achalasia, another subset of patients with a normal-appearing sphincter relaxation has been proposed. Provocative maneuvers, such as the rapid drinking challenge, have recently been demonstrated to improve diagnosis in certain borderline patients, but have to be studied in more detail. However, whether the different types of achalasia will have a long-term impact on tailored therapies is still a matter of debate. Additionally, novel aspects of the standard timed barium swallow appear to be an important adjunct of diagnosis, as it has been shown to have a diagnostic as well as a predictive value.

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“…During recent years a number of systematic reviews and meta-analyses have been carried out [32][33][34][35][36][37][38][39][40][41][42][43][44]. In those, 28 studies (2 RCTs and 26 observational studies) have been included.…”

Section: Peroral Endoscopic Myotomy Versus Surgical Myotomy or Pneumamentioning

confidence: 99%

Current and Future Treatment Options in Primary Achalasia. The Role of POEM

Lundell

2020

JGLD

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2019 Seoul Consensus on Esophageal Achalasia Guidelines

Cited by 81 publications

References 163 publications

Knowledge, Attitude, and Practice Survey of Gastroparesis in Asia by Asian Neurogastroenterology and Motility Association

Knowledge, Attitude, and Practice Survey of Gastroparesis in Asia by Asian Neurogastroenterology and Motility Association

Achalasia: physiology and diagnosis

Current and Future Treatment Options in Primary Achalasia. The Role of POEM

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