MANAGEMENT OF SYMPTOMS RECURRENCE AFTER MYOTOMY FOR ACHALASIA. A PRACTICAL APPROACH

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Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
COLEGIO BRASILEIRO CIRURGIA DIGESTIVA-CBCD
Autores
ANDREOLLO, Nelson Adami
Citação
ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY, v.36, article ID e1780, 7p, 2023
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
BACKGROUND: Achalasia is an esophageal motility disorder, and myotomy is one of the most used treatment techniques. However, symptom persistence or recurrence occurs in 9 to 20% of cases. AIMS: This study aims to provide a practical approach for managing the recurrence or persistence of achalasia symptoms after myotomy. METHODS: A critical review was performed to gather evidence for a rational approach for managing the recurrence or persistence of achalasia symptoms after myotomy. RESULTS: To properly manage an achalasia patient with significant symptoms after myotomy, such as dysphagia, regurgitation, thoracic pain, and weight loss, it is necessary to classify symptoms, stratify severity, perform appropriate tests, and define a treatment strategy. A systematic differential diagnosis workup is essential to cover the main etiologies of symptoms recurrence or persistence after myotomy. Upper digestive endoscopy and dynamic digital radiography are the main tests that can be applied for investigation. The treatment options include endoscopic dilation, peroral endoscopic myotomy, redo surgery, and esophagectomy, and the decision should be based on the patient's individual characteristics. CONCLUSIONS: A good clinical evaluation and the use of proper tests jointly with a rational assessment, are essential for the management of symptoms recurrence or persistence after achalasia myotomy.
Palavras-chave
Esophageal Achalasia, Esophageal Diseases, Esophageal Motility Disorders, Reoperation, Dysphagia
URI
https://observatorio.fm.usp.br/handle/OPI/58138
Referências
  1. Sallum RAA, 2012, ABCD-ARQ BRAS CIR DI, V25, P279, DOI 10.1590/S0102-67202012000400013
  2. Akimoto S, 2022, SURG TODAY, V52, P401, DOI 10.1007/s00595-021-02376-5
  3. Bianchi ET, 2017, Mini-invasive Surg, V1, P153, DOI [DOI 10.20517/2574-1225.2017.41, 10.20517/2574-1225.2017.41]
  4. Boeckxstaens GE, 2014, LANCET, V383, P83, DOI 10.1016/S0140-6736(13)60651-0
  5. Chrystoja CC, 2016, AM J GASTROENTEROL, V111, P1536, DOI 10.1038/ajg.2016.402
  6. COSTA LUIGI CARLO DA SILVA, 2020, Rev. Col. Bras. Cir., V47, pe20202444, DOI 10.1590/0100-6991e-20202444
  7. Cubisino A, 2022, LANGENBECK ARCH SURG, V407, P1721, DOI 10.1007/s00423-022-02553-1
  8. Eckardt AJ, 2009, WORLD J GASTROENTERO, V15, P3969, DOI 10.3748/wjg.15.3969
  9. Gaber CE, 2022, NEUROGASTROENT MOTIL, V34, DOI 10.1111/nmo.14312
  10. Inoue H, 2020, ESOPHAGUS-TOKYO, V17, P3, DOI 10.1007/s10388-019-00689-6
  11. Kon AA, 2010, JAMA-J AM MED ASSOC, V304, P903, DOI 10.1001/jama.2010.1208
  12. Lopes LR, 2011, CLINICS, V66, P41, DOI 10.1590/S1807-59322011000100008
  13. Mariotto R, 2020, ABCD-ARQ BRAS CIR DI, V33, DOI 10.1590/0102-672020200004e1557
  14. Milito P, 2022, J GASTROINTEST SURG, V26, P64, DOI 10.1007/s11605-021-05098-8
  15. Novais PA, 2010, ALIMENT PHARM THER, V32, P1257, DOI 10.1111/j.1365-2036.2010.04461.x
  16. Orlandini MF, 2021, DIS ESOPHAGUS, V34, DOI 10.1093/dote/doab053
  17. ORLANDINI MARINA FELICIANO, 2021, Rev. Col. Bras. Cir., V48, pe20202973, DOI 10.1590/0100-6991e-20202973
  18. Patti MG, 2021, ABCD-ARQ BRAS CIR DI, V34, DOI 10.1590/0102-672020210002e1632
  19. Patti MG, 2015, WORLD J SURG, V39, P1625, DOI 10.1007/s00268-014-2901-8
  20. Schlottmann F, 2018, ANN SURG, V267, P451, DOI 10.1097/SLA.0000000000002311
  21. Shemmeri E, 2020, SURG ENDOSC, V34, P1856, DOI 10.1007/s00464-019-06952-2
  22. Slone S, 2021, DIS ESOPHAGUS, V34, DOI 10.1093/dote/doaa080
  23. Smith KE, 2020, J GASTROINTEST SURG, V24, P991, DOI 10.1007/s11605-019-04264-3
  24. Taft TH, 2018, NEUROGASTROENT MOTIL, V30, DOI 10.1111/nmo.13287
  25. Tustumi F, 2017, DIS ESOPHAGUS, V30, DOI 10.1093/dote/dox072
  26. Tustumi F, 2022, FRONT MED-LAUSANNE, V9, DOI 10.3389/fmed.2022.941464
  27. Urbach DR, 2005, AM J GASTROENTEROL, V100, P1668, DOI 10.1111/j.1572-0241.2005.50141.x
  28. Waters J, 2022, WORLD J SURG, V46, P1567, DOI 10.1007/s00268-022-06519-8
  29. Watson DI, 2020, Ann Esophagus, V3, P15, DOI [10.21037/aoe.2020.03.04, DOI 10.21037/AOE.2020.03.04]
  30. Wu XY, 2021, J DIGEST DIS, V22, P126, DOI 10.1111/1751-2980.12973
  31. Zaninotto G, 2018, DIS ESOPHAGUS, V31, DOI 10.1093/dote/doy071
  32. Zaninotto G, 2002, ANN SURG, V235, P186, DOI 10.1097/00000658-200202000-00005

Coleções
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/35
Artigos e Materiais de Revistas Científicas - LIM/37