Debates

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 […]

Quick Hits

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 […]