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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.

Multidisciplinary approaches to Achalasia Virtual Presentation

This virtual presentation was 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 work for Achalasia presented by Vani Konda from Baylor University Medical Center (USA)
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)


Achalasia Roundtable Discussion

Watch John Pandolfino and Giovanni Zaninotto lead a roundtable discussion on Achalasia during the ISDE 2016 Congress in Singapore. The discussion centered around the following questions:

  1. In this era in which we have several options to treat patients with achalasia, what do you recommend to patients as the first line treatment for achalasia?
  2. What is standard of care?
  3. What do you take into consideration?

Moderators: John Pandolfino and Giovanni Zaninotto

Panelists: Luigi Bonavina, Albert Bredenoord, Peter Kahrilas, Magnus Nilsson, David Watson, Payal Saxena

Help Us Grow the Scientific Content

Share your latest scientific work or other relevant papers, abstracts or guidelines here!

  • Do you have a recent publication or an abstract to share on Achalasia? Share it here with the community! Submit to info@isde.net today!

  • Do you have an interesting case to share on Achalasia?
    Submit a CASE REPORT here on ISDE.net.

Affiliated Societies



International  Interdisciplinary  Everything Esophageal


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