Post hoc analysis of treatment responses from a European achalasia trial confirms that subtyping of patients with achalasia does help direct therapy. The high success rates for types I and II achalasia with either pneumatic dilatation or laparoscopic Heller myotomy support the recommendation that available local expertise should be a major consideration in treatment choice.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Rohof, W. O. et al. Outcomes of treatment of achalasia depend on manometric subtype. Gastroenterology http://dx.doi.org/10.1053/j.gastro.2012.12.027.
Pandolfino, J. E. et al. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology 135, 1526–1533 (2008).
Spechler, S. J. Pneumatic dilation and laparoscopic Heller's myotomy equally effective for achalasia. N. Engl. J. Med. 364, 1868–1870 (2011).
Author information
Authors and Affiliations
Ethics declarations
Competing interests
The author declares that he has acted as a consultant for Sandhill Scientific, been a member of a speakers bureau for Takeda and Sandhill Scientific and received research support from Amenity Health.
Rights and permissions
About this article
Cite this article
Castell, D. Achalasia subtyping directs therapy. Nat Rev Gastroenterol Hepatol 10, 202–203 (2013). https://doi.org/10.1038/nrgastro.2013.40
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrgastro.2013.40