Achalasia Cardia is a rare disorder that makes it difficult for food and liquid to pass from the Oesophagus into your stomach.
Treatment options include endoscopy, minimally invasive therapy or surgery.
Signs and symptoms of Achalasia
Signs and symptoms may include:
Pneumonia (from aspiration of food into the lungs)
Regurgitating food or saliva
Chest pain that comes and goes
Coughing at night
Treatment options available for Achalasia
The treatment for achalasia focuses on relaxing or stretching open the lower esophageal sphincter. By doing this, food and liquid can move more easily through your stomach.
Specific treatment depends on your health condition, age and the severity of the achalasia.
Pneumatic Balloon Dilation
Pneumatic dilatation is the most effective non surgical treatment option. Under sedation, a balloon is based in the lower oesophagus via endoscope. The balloon is stretching the lower esophageal sphincter that lets food and liquid into your stomach. This treatment option improves swallow immediately, however, you may need treatment several times.
Under sedation, botox is injected into the lower oesophagus via endoscope. Botox is causing relaxation of lower esophageal sphincter that lets food and liquid into your stomach. This treatment option is usually painless and improves swallow immediately for few months and occasionally for a few years, however, you may need treatment several times.
By performing keyhole surgery, under general anaesthesia, the muscle of the lower esophageal sphincter is cut to lets food into your stomach. Heller Myotomy is the most common treatment for achalasia. At the same time, an anti-reflux operation will be performed so as to prevent the development of gastroesophageal reflux disease (GERD).
How long does it take to recover?
Following successful laparoscopic surgery, most people leave hospital the following day. There is specific diet that has to be followed starting initially with liquid and then a very soft “sloppy” diet for approximately 2 weeks.
It is preferable to avoid exertion and heavy work for a couple of weeks though one can take regular walks, showers, and ride in a car if necessary. Driving can be attempted several days post-operatively.