Treatments of Achalasia Cardia
Two non-surgical treatments are popular to cure the Achalasia Cardia which is:-
- Botulinum Toxin:- In this treatment, Botox is directly injected to esophageal sphincter with an endoscope. Patients with poor-risk of surgery may be treated via injections on a repeated bi-monthly basis. Injections may weaken the sphincter muscle and allows the food to pass into the stomach. It may make surgery at risk at the later stage.
- Balloon Dilatation:- A balloon is inserted into esophageal sphincter using the endoscope and inflated to enlarge its opening. This is an outpatient process with a success rate of 50-75%. If esophageal sphincter contracts, surgery is required. There is a very small risk (2-6%) of puncturing the esophagus.
The most popular way to treat Achalasia is called esophagomyotomy involves cutting esophageal sphincter muscle. The success rate is high & permanent. A small number of patients may need additional treatments are given below:-
- Heller Myotomy:- It is performed a laparoscopic procedure. Several tiny incisions are made to insert a small scope through which miniature surgical instruments are passed. The scope is connected to a video camera which sends magnified images to monitor allowing surgeon to view the anatomy & to manipulate the instruments. Advantages of Heller Myotomy includes:
- Less or Minimally invasive post-operative pain
- 1-2 day hospital stay
- Faster recovery from surgery
- Fastest return to work and normal activities
- Nissen Fundoplication:- Patients may have the complaints of developing gastroesophageal reflux disease (GERD) after a Heller myotomy. So Nissen fundoplication is performed with Heller Myotomy to avoid the condition of GERD. This is also performed laparoscopically wrapping the upper part of the stomach around the lower esophageal sphincter to strengthen it.
Consultation with Achalasia Expert surgeon Gurgaon is always prerequisite before undergoing any treatments for better and effective results.