The opinion magazine of the American Gastroenterological Association
This is half of a two-part debate — read the opposing argument. Preamble to this article: I did not volunteer to write this opinion paper, but was asked by the outgoing editor, Dr. Gary Falk. Why, I’m not sure, because I don’t have this technology in our Esophageal Center at the University of South Florida. […]
This is half of a two-part debate — read the opposing argument. The opinions expressed here are that of the author and do not represent the position of AGA. The best treatments for achalasia disrupt the lower esophageal sphincter (LES) improving symptoms and esophageal emptying while preventing the progression to megaesophagus. The oldest of these treatments is brusque esophageal dilation, first […]
For the last 55 years, anti-reflux surgery (Nissen or Toupet fundoplication) has had excellent outcomes, few side effects and commendable durability for a functional repair. The procedure is a true anti-reflux operation, increasing lower esophageal sphincter pressure and eliminating acid reflux in 90 percent of patients. Thirty-day mortality is less than 1 percent (and 0 […]
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