Achalasia: Initial Management, Treatment Failure and Re-do Procedures

Presentation of the Case

By the Stanford group

Patient Profile & Clinical Presentation

• Patient: Healthy man in his 50s

• Diagnosis: Achalasia.

• Clinical Focus: Initial management options and subsequent steps when those are only transiently successful.

Management Considerations

This patient is facing management decisions regarding diagnosis, initial treatment, treatment escalation, and technical considerations for subsequent interventions.

Discussion Points

1. Diagnosis tests

2. Choice of initial therapy

3. Next steps in therapy

4. Practicalities of changing management over time

5. Technical challenges in re-do procedures

Panel for Discussion

John Clarke | George Triadafilopoulos | Afrin Kamal | Shai Friedland (Stanford) | Ellen Stein (Rutgers University, New Brunswick) | Roger Tatum (University of Washington) | Eun Ji Shin (John Hopkins, Baltimore) | Y.Y. Justin Lee (University Sains, Malaysia)