The 2018 ISDE achalasia guidelines

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorZANINOTTO, G.
dc.contributor.authorBENNETT, C.
dc.contributor.authorBOECKXSTAENS, G.
dc.contributor.authorCOSTANTINI, M.
dc.contributor.authorFERGUSON, M. K.
dc.contributor.authorPANDOLFINO, J. E.
dc.contributor.authorPATTI, M. G.
dc.contributor.authorRIBEIRO JR., U.
dc.contributor.authorRICHTER, J.
dc.contributor.authorSWANSTROM, L.
dc.contributor.authorTACK, J.
dc.contributor.authorTRIADAFILOPOULOS, G.
dc.contributor.authorMARKAR, S. R.
dc.contributor.authorSALVADOR, R.
dc.contributor.authorFACCIO, L.
dc.contributor.authorANDREOLLO, N. A.
dc.contributor.authorCECCONELLO, I.
dc.contributor.authorCOSTAMAGNA, G.
dc.contributor.authorROCHA, J. R. M. da
dc.contributor.authorHUNGNESS, E. S.
dc.contributor.authorFISICHELLA, P. M.
dc.contributor.authorFUCHS, K. H.
dc.contributor.authorGOCKEL, I.
dc.contributor.authorGURSKI, R.
dc.contributor.authorGYAWALI, C. P.
dc.contributor.authorHERBELLA, F. A. M.
dc.contributor.authorHOLLOWAY, R. H.
dc.contributor.authorHONGO, M.
dc.contributor.authorJOBE, B. A.
dc.contributor.authorKAHRILAS, P. J.
dc.contributor.authorKATZKA, D. A.
dc.contributor.authorDUA, K. S.
dc.contributor.authorLIU, D.
dc.contributor.authorMOONEN, A.
dc.contributor.authorNASI, A.
dc.contributor.authorPASRICHA, P. J.
dc.contributor.authorPENAGINI, R.
dc.contributor.authorPERRETTA, S.
dc.contributor.authorSALLUM, R. A. A.
dc.contributor.authorSARNELLI, G.
dc.contributor.authorSAVARINO, E.
dc.contributor.authorSCHLOTTMANN, F.
dc.contributor.authorSIFRIM, D.
dc.contributor.authorSOPER, N.
dc.contributor.authorTATUM, R. P.
dc.contributor.authorVAEZI, M. F.
dc.contributor.authorHERWAARDEN-LINDEBOOM, M. van
dc.contributor.authorVANUYTSEL, T.
dc.contributor.authorVELA, M. F.
dc.contributor.authorWATSON, D. I.
dc.contributor.authorZERBIB, F.
dc.contributor.authorGITTENS, S.
dc.contributor.authorPONTILLO, C.
dc.contributor.authorVERMIGLI, S.
dc.contributor.authorINAMA, D.
dc.contributor.authorLOW, D. E.
dc.date.accessioned2019-01-17T13:32:56Z
dc.date.available2019-01-17T13:32:56Z
dc.date.issued2018
dc.description.abstractAchalasia is a relatively rare primary motor esophageal disorder, characterized by absence of relaxations of the lower esophageal sphincter and of peristalsis along the esophageal body. As a result, patients typically present with dysphagia, regurgitation and occasionally chest pain, pulmonary complication and malnutrition. New diagnostic methodologies and therapeutic techniques have been recently added to the armamentarium for treating achalasia. With the aim to offer clinicians and patients an up-to-date framework for making informed decisions on the management of this disease, the International Society for Diseases of the Esophagus Guidelines proposed and endorsed the Esophageal Achalasia Guidelines (I-GOAL). The guidelines were prepared according the Appraisal of Guidelines for Research and Evaluation (AGREE-REX) tool, accredited for guideline production by NICE UK. A systematic literature search was performed and the quality of evidence and the strength of recommendations were graded according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE). Given the relative rarity of this disease and the paucity of high-level evidence in the literature, this process was integrated with a three-step process of anonymous voting on each statement (DELPHI). Only statements with an approval rate > 80% were accepted in the guidelines. Fifty-one experts from 11 countries and 3 representatives from patient support associations participated to the preparations of the guidelines. These guidelines deal specifically with the following achalasia issues: Diagnostic workup, Definition of the disease, Severity of presentation, Medical treatment, Botulinum Toxin injection, Pneumatic dilatation, POEM, Other endoscopic treatments, Laparoscopic myotomy, Definition of recurrence, Follow up and risk of cancer, Management of end stage achalasia, Treatment options for failure, Achalasia in children, Achalasia secondary to Chagas' disease.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipISDE International Society for Esophageal Diseases
dc.description.sponsorshipMorgagni Foundation -ESO- ONLUS
dc.description.sponsorshipDepartment of Surgical, Oncological and Gastroenterologica Sciences, University of Padua, Padua, Italy
dc.description.sponsorshipALMA -ONLUS (Association of Patients with Achalasia)
dc.identifier.citationDISEASES OF THE ESOPHAGUS, v.31, n.9, article ID UNSP doy071, 29p, 2018
dc.identifier.doi10.1093/dote/doy071
dc.identifier.issn1442-2050
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/29933
dc.language.isoeng
dc.publisherOXFORD UNIV PRESS INCeng
dc.relation.ispartofDiseases of the Esophagus
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright OXFORD UNIV PRESS INCeng
dc.subjectesophageal achalasiaeng
dc.subjectChagas diseaseeng
dc.subject.otherlaparoscopic heller myotomyeng
dc.subject.otherperoral endoscopic myotomyeng
dc.subject.otherbotulinum toxin injectioneng
dc.subject.otherrandomized-controlled-trialeng
dc.subject.otherlong-term outcomeseng
dc.subject.otherhigh-resolution manometryeng
dc.subject.otherpneumatic balloon dilationeng
dc.subject.otherquality-of-lifeeng
dc.subject.otheresophageal motility disorderseng
dc.subject.othertimed barium esophagogrameng
dc.subject.wosGastroenterology & Hepatologyeng
dc.titleThe 2018 ISDE achalasia guidelineseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryArgentina
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryIrlanda
hcfmusp.affiliation.countryBélgica
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryAlemanha
hcfmusp.affiliation.countryAustrália
hcfmusp.affiliation.countryJapão
hcfmusp.affiliation.countryChina
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryHolanda
hcfmusp.affiliation.countryisogb
hcfmusp.affiliation.countryisoie
hcfmusp.affiliation.countryisobe
hcfmusp.affiliation.countryisoit
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisode
hcfmusp.affiliation.countryisoau
hcfmusp.affiliation.countryisojp
hcfmusp.affiliation.countryisocn
hcfmusp.affiliation.countryisofr
hcfmusp.affiliation.countryisoar
hcfmusp.affiliation.countryisonl
hcfmusp.author.externalZANINOTTO, G.:Imperial Coll, Dept Surg & Canc, London, England
hcfmusp.author.externalBENNETT, C.:Royal Coll Surgeons Ireland, Off Res & Innovat, Dublin, Ireland
hcfmusp.author.externalBOECKXSTAENS, G.:Univ Leuven, Dept Chron Dis Metab & Ageing Chrometa, Translat Res Ctr Gastrointestinal Disorders TARGI, Leuven, Belgium
hcfmusp.author.externalCOSTANTINI, M.:Univ Padua, Dept Surg Oncol & Gastroenterol Sci, Padua, Italy
hcfmusp.author.externalFERGUSON, M. K.:Univ Chicago, Dept Surg, 5841 S Maryland Ave, Chicago, IL 60637 USA
hcfmusp.author.externalPANDOLFINO, J. E.:Northwestern Univ, Dept Med, Chicago, IL 60611 USA
hcfmusp.author.externalPATTI, M. G.:Univ N Carolina, Sch Med, Dept Med & Surg, Chapel Hill, NC 27515 USA
hcfmusp.author.externalRICHTER, J.:Temple Univ, Dept Med, Philadelphia, PA 19122 USA
hcfmusp.author.externalSWANSTROM, L.:Inst Image Guided Surg, Strasbourg, France; Oregon Hlth & Sci Univ, Intervent Endoscopy & Foregut Surg, Portland, OR USA
hcfmusp.author.externalTACK, J.:Univ Leuven, Dept Chron Dis Metab & Ageing Chrometa, Translat Res Ctr Gastrointestinal Disorders TARGI, Leuven, Belgium
hcfmusp.author.externalTRIADAFILOPOULOS, G.:Stanford Univ, Div Gastroenterol & Hepatol, SEMPIRE, Stanford, CA 94305 USA
hcfmusp.author.externalMARKAR, S. R.:Imperial Coll, Dept Surg & Canc, London, England
hcfmusp.author.externalSALVADOR, R.:Univ Padua, Dept Surg Oncol & Gastroenterol Sci, Padua, Italy
hcfmusp.author.externalFACCIO, L.:Padova Univ Hosp, Div Surg, Padua, Italy
hcfmusp.author.externalANDREOLLO, N. A.:Univ Estadual Campinas, Fac Med Sci, Campinas, SP, Brazil
hcfmusp.author.externalCOSTAMAGNA, G.:Catholic Univ, A Gemelli Hosp, Digest Endoscopy Unit, Rome, Italy
hcfmusp.author.externalHUNGNESS, E. S.:Northwestern Univ, Dept Surg, Chicago, IL 60611 USA
hcfmusp.author.externalFISICHELLA, P. M.:Brigham & Womens Hosp, Dept Surg, 75 Francis St, Boston, MA 02115 USA; Harvard Med Sch, Boston VA Healthcare Syst, Boston, MA USA
hcfmusp.author.externalFUCHS, K. H.:AGAPLESION Markus Krankenhaus, Dept Surg, Frankfurt, Germany
hcfmusp.author.externalGOCKEL, I.:Univ Hosp Leipzig, Dept Visceral Transplant Thorac & Vasc Surg, Leipzig, Germany
hcfmusp.author.externalGURSKI, R.:Univ Fed Rio Grande do Sul, Sch Med, Dept Surg, Porto Alegre, RS, Brazil
hcfmusp.author.externalGYAWALI, C. P.:Washington Univ, Sch Med, Div Gastroenterol, St Louis, MO 63110 USA
hcfmusp.author.externalHERBELLA, F. A. M.:Univ Fed Sao Paulo, Sch Med, Dept Surg, Sao Paulo, Brazil
hcfmusp.author.externalHOLLOWAY, R. H.:Univ Adelaide, Royal Adelaide Hosp, Dept Gastroenterol & Hepatol, Adelaide, SA, Australia
hcfmusp.author.externalHONGO, M.:Kurokawa Hosp, Dept Med, Kurokawa, Miyagi, Japan
hcfmusp.author.externalJOBE, B. A.:Allegheny Hlth Network Canc Inst, Esophageal & Lung Inst, Pittsburgh, PA USA
hcfmusp.author.externalKAHRILAS, P. J.:Northwestern Univ, Dept Med, Chicago, IL 60611 USA
hcfmusp.author.externalKATZKA, D. A.:Mayo Clin, Div Gastroenterol & Hepatol, Rochester, MN USA
hcfmusp.author.externalDUA, K. S.:Med Coll Wisconsin, Div Gastroenterol & Hepatol, Milwaukee, WI 53226 USA
hcfmusp.author.externalLIU, D.:Cent S Univ, Xiangya Hosp 2, Dept Gastroenterol, Changsha, Hunan, Peoples R China
hcfmusp.author.externalMOONEN, A.:Univ Leuven, Dept Chron Dis Metab & Ageing Chrometa, Translat Res Ctr Gastrointestinal Disorders TARGI, Leuven, Belgium
hcfmusp.author.externalPASRICHA, P. J.:Johns Hopkins Univ, Sch Med, Div Gastroenterol & Hepatol, Baltimore, MD USA
hcfmusp.author.externalPENAGINI, R.:Osped Maggiore Policlin, Fdn IRCCS Ca Granda, Gastroenterol & Endoscopy Unit, Milan, Italy; Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy
hcfmusp.author.externalPERRETTA, S.:Inst Image Guided Surg IHU Strasbourg, Strasbourg, France
hcfmusp.author.externalSARNELLI, G.:Federico II Univ Naples, Dept Clin Med & Surg, Naples, Italy
hcfmusp.author.externalSAVARINO, E.:Univ Padua, Dept Surg Oncol & Gastroenterol Sci, Padua, Italy
hcfmusp.author.externalSCHLOTTMANN, F.:Hosp Aleman Buenos Aires, Dept Surg, Buenos Aires, DF, Argentina
hcfmusp.author.externalSIFRIM, D.:Queen Mary Univ London, Barts & London Sch Med & Dent, London, England
hcfmusp.author.externalSOPER, N.:Northwestern Univ, Dept Surg, Chicago, IL 60611 USA
hcfmusp.author.externalTATUM, R. P.:Univ Washington, Sch Med, Dept Surg, Seattle, WA 98195 USA
hcfmusp.author.externalVAEZI, M. F.:Mayo Clin, Div Gastroenterol & Hepatol, Scottsdale, AZ USA
hcfmusp.author.externalHERWAARDEN-LINDEBOOM, M. van:Univ Med Ctr Utrecht, Wilhelmina Childrens Hosp, Dept Pediat Surg, Utrecht, Netherlands
hcfmusp.author.externalVANUYTSEL, T.:Univ Leuven, Dept Chron Dis Metab & Ageing Chrometa, Translat Res Ctr Gastrointestinal Disorders TARGI, Leuven, Belgium
hcfmusp.author.externalVELA, M. F.:Univ Washington, Sch Med, Dept Surg, Seattle, WA 98195 USA
hcfmusp.author.externalWATSON, D. I.:Flinders Univ S Australia, Dept Surg, Adelaide, SA, Australia
hcfmusp.author.externalZERBIB, F.:Univ Bordeaux, Dept Gastroenterol, Bordeaux, France
hcfmusp.author.externalGITTENS, S.:ECD Solut, Atlanta, GA USA
hcfmusp.author.externalPONTILLO, C.:ONLUS, ALMA Assoc Patients Achalasia, Naples, Italy
hcfmusp.author.externalVERMIGLI, S.:ONLUS, ALMA Assoc Patients Achalasia, Naples, Italy
hcfmusp.author.externalINAMA, D.:ONLUS, ALMA Assoc Patients Achalasia, Naples, Italy
hcfmusp.author.externalLOW, D. E.:Virginia Mason Med Ctr, Dept Thorac Surg, Seattle, WA 98101 USA
hcfmusp.citation.scopus228
hcfmusp.contributor.author-fmusphcULYSSES RIBEIRO JUNIOR
hcfmusp.contributor.author-fmusphcIVAN CECCONELLO
hcfmusp.contributor.author-fmusphcJULIO RAFAEL MARIANO DA ROCHA
hcfmusp.contributor.author-fmusphcARY NASI
hcfmusp.contributor.author-fmusphcRUBENS ANTONIO AISSAR SALLUM
hcfmusp.description.articlenumberUNSP doy071
hcfmusp.description.issue9
hcfmusp.description.volume31
hcfmusp.origemWOS
hcfmusp.origem.pubmed30169645
hcfmusp.origem.scopus2-s2.0-85056450426
hcfmusp.origem.wosWOS:000450401600006
hcfmusp.publisher.cityCARYeng
hcfmusp.publisher.countryUSAeng
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