European Guideline on Achalasia - UEG and ESNM recommendations
Oude Nijhuis, RAB (Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology & Metabolism, Amsterdam University Medical Centers, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands)
Zaninotto, Giovanni (Imperial College London. Department of Surgery and Cancer)
Roman, S. (Digestive Physiology, Hôpital Edouard Herriot, Lyon, France)
Boeckxstaens, Guy (KU Leuven. Department of Chronic Diseases, Metabolism and Ageing)
Fockens, P. (Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology & Metabolism, Amsterdam University Medical Centers, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands)
Langendam, Miranda W (Amsterdam University Medical Center (UMC))
Plumb, A. A. (University College London. Centre for Medical Image)
Smout, AJPM (Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology & Metabolism, Amsterdam University Medical Centers, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands)
Targarona, Eduardo M. (Institut d'Investigació Biomèdica Sant Pau)
Trukhmanov, A. S. (I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia)
Weusten, BLAM (University Medical Center Utrecht)
Bredenoord, A. J. (Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology & Metabolism, Amsterdam University Medical Centers, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands)
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	Achalasia is a primary motor disorder of the oesophagus characterised by absence of peristalsis and insufficient lower oesophageal sphincter relaxation. With new advances and developments in achalasia management, there is an increasing demand for comprehensive evidence-based guidelines to assist clinicians in achalasia patient care. Guidelines were established by a working group of representatives from United European Gastroenterology, European Society of Neurogastroenterology and Motility, European Society of Gastrointestinal and Abdominal Radiology, and the European Association of Endoscopic Surgery in accordance with the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. A systematic review of the literature was performed and the certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Recommendations were voted upon using a nominal group technique. These guidelines focus on the definition of achalasia, treatment aims, diagnostic tests, medical, endoscopic and surgical therapy, management of treatment failure, follow-up and oesophageal cancer risk. These multidisciplinary guidelines provide a comprehensive evidence-based framework with recommendations on the diagnosis, treatment and follow-up of adult achalasia patients.
Nota:	Altres ajuts: These guidelines have been developed and funded within the United European Gastroenterology.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Dysphagia ; Oesophagus ; Manometry ; Myotomy ; Motility
Publicado en:	United European Gastroenterology journal, Vol. 8 (february 2020) , p. 13-34, ISSN 2050-6414

DOI: 10.1177/2050640620903213
PMID: 32213062

22 p, 520.2 KB

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