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In this video you will learn key things you need to know about achalasia. What is achalasia? Achalasia is a rare disorder in which damaged nerves in your esophagus prevent it from working as it should. Muscles at the lower end of your esophagus fail to allow food to enter your stomach. What are symptoms of achalasia? Symptoms include trouble swallowing, heartburn and chest pain. What are treatment options for achalasia? Treatment includes both nonsurgical (Botox injections, balloon dilation, medicines) and surgical options. Surgery Surgical options for treating achalasia include: Heller myotomy. A Heller myotomy involves cutting the muscle at the lower end of the esophageal sphincter. This allows food to pass more easily into the stomach. The procedure can be done using a minimally invasive technique called a laparoscopic Heller myotomy. Some people who have a Heller myotomy may later develop gastroesophageal reflux disease (GERD). To avoid future problems with GERD, a surgeon might do a procedure known as fundoplication at the same time as a Heller myotomy. In fundoplication, the surgeon wraps the top of the stomach around the lower esophagus to create an anti-reflux valve, preventing acid from coming back into the esophagus. Fundoplication is usually done with a minimally invasive procedure, also called a laparoscopic procedure. Peroral endoscopic myotomy (POEM). In the POEM procedure, the surgeon uses an endoscope inserted through the mouth and down the throat to create an incision in the inside lining of the esophagus. Then, as in a Heller myotomy, the surgeon cuts the muscle at the lower end of the esophageal sphincter. POEM may also be combined with or followed by later fundoplication to help prevent GERD. Some patients who have POEM and develop GERD after the procedure are treated with daily medicine taken by mouth. Content chapters and timestamps 00:00 - Introduction 00:21 - What is achalasia? 01:22 - Causes of achalasia 01:44 - Potential symptoms 02:44 - Diagnosis and tests for achalasia 03:50 - Management and treatment of achalasia 07:13 - Complications of treatment *Website resources* NHS (UK) information: https://www.nhs.uk/conditions/achalasia/ Cleveland Clinic (USA) information: https://my.clevelandclinic.org/health... Patient information: https://patient.info/digestive-health... ************************************************************************ Connect through: Website: www.doctorodonovan.com YouTube: / doctorodonovan TikTok: @doctorodonovan ************************************************************************** Disclaimer: The video is intended as an educational resource only. The information within this video or on this channel isn't designed to replace professional input, so if you have any medical issues please consult a medical provider. No professional relationship is being created by watching this video. Dr. O’Donovan cannot give any individual medical advice. All information should be verified for accuracy by the individual user. Dr O’Donovan accepts no responsibility for individual interpretation of data, although it is always accurate to the best of his knowledge at the time of the video being published. This is an EDUCATIONAL video. Images are used in accordance with fair use guidelines. Legal information: Content provided via YouTube is for general information purposes ONLY. Information videos are not produced to provide individualised medical advice. Medical education videos on Doctor O'Donovan are not a substitute for professional professional medical advice, diagnosis or treatment. NEVER ignore professional medical advice because of something you have heard here. ALWAYS consult your doctor regarding any concerns about your condition or treatment.