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Achalasia

2018 Achalasia Guidelines

Achalasia is a relatively rare esophageal motility disorder that is mainly characterized by a lack of peristalsis of the esophageal body and absence or incomplete relaxation of the lower esophageal sphincter. As a result, patients typically present dysphagia, regurgitation and occasionally chest pain, pulmonary complications and malnutrition.

The ISDE Guidelines Committee proposed and endorsed the Esophageal Achalasia Guidelines (I-GOAL) in 2018 to offer clinicians and patients with an up-to-date framework for making informed decisions on managing the disease.

Watch Multidisciplinary approaches to Achalasia Virtual Presentation

Moderated by Education Committee Co-Chairs, Simon Law and Lawrence Ho, this virtual event included didactic lectures covering updates in diagnostic assessments, endoscopic approaches, and surgery. This interactive session explored multidisciplinary approaches to tailor treatments and is presented in five segments below.

Updates on pathophysiology and workup for Achalasia

Update on endoscopic treatment for Achalasia presented by Haruhiro Inoue, Showa University (Japan)

Surgical treatment for Achalasia presented by Marco Patti, University of North Carolina (USA)

Effects of Post Myotomy GER in Achalasic Patients: Data from a 65 Years Long Follow-up Program presented by Sandro Mattioli, University of Bologna (Italy)

Achalasia Case Discussion lead by Vani Konda from Baylor University Medical Center (USA)

ISDE wishes to recognize and thank the following individuals for their contributions to this virtual presentation:

  • Vani Konda, Baylor University Medical Center (USA)
  • Haruhiro Inoue, Showa University (Japan)
  • Marco Patti, University of North Carolina (USA)
  • Sandro Mattioli, University of Bologna (Italy)
  • André Brandalise, University of Campinas (Brazil)


Additional Resources

Search the Diseases of the Esophagus Journal for articles on Achalasia

Visit the Achalasia Playlist on the ISDE Youtube Channel for more videos

Affiliated Societies



International  Interdisciplinary  Everything Esophageal


The International Society for Diseases of the Esophagus is a 501(c)3 non-profit organization.

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