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Achalasia
Started by BirdBeak
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Optimal treatment for achalasia depends on the patient's age and co-morbidities, and ranges from POEM, traditional heller myotomy, pneumatic dilation, and botox.
You can get a dilation almost anywhere, whereas POEM is a highly specialized endoscopic technique that is not routinely available. Botox can limit future efficacy of myotomy and is not recommended unless not a candidate for more definitive techniques.
Optimal treatment for achalasia depends on the patient's age and co-morbidities, and ranges from POEM, traditional heller myotomy, pneumatic dilation, and botox.
You can get a dilation almost anywhere, whereas POEM is a highly specialized endoscopic technique that is not routinely available. Botox can limit future efficacy of myotomy and is not recommended unless not a candidate for more definitive techniques.
I'm not seeking medical advice; what I would like is some options for high volume providers or institutions for dilation. I'm well aware of the different treatment options and indications. Is this disease so uncommon that nobody knows what the high volume institutions are?
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Maybe if you provided your region of the country. Otherwise the Japanese are the best, so book a flight.
Don't have an attitude with zero posts when you are asking for help.
An achalasia pneumatic dilation is not a technically challenging procedure. It is however more aggressive than a standard balloon dilation. You would be best served having it done somewhat locally where you are otherwise getting your routine GI care for follow up. Having it done at a referral center with a multidisciplinary team that offers POEM, heller, etc typically best.
