Upper Gastrointestinal Tract
is clinical suspicion of the disease. The most sensitive test for diagnosis is manometry. Endoscopy may help to rule out malignancy or can be therapeutic with pneumatic dilation or botulinum in some cases. The most common cause of recurrence of achalasia during the first post-operative year is an incomplete myotomy. Redo Heller myotomy should be considered if pneumatic dilation fails in treating post-operative recurrence. n
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Ehab Akkary, MD, FACS, is the Director of Bariatric and Advanced Laparoscopic Surgery at Preston Memorial Hospital, Kingswood, West Virginia. He is an active member of the American Medical Association (AMA), the American College of Surgeons (ACS), the American Society for Metabolic and Bariatric Surgery (ASMBS), the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the Society of Laparoendoscopic Surgeons (SLS), among others. He completed a general surgery residency at North Oakland Hospital in Pontiac and his advanced fellowship training at Yale University.
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