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2019 Seoul Consensus on Esophageal Achalasia Guidelines

  • 주제(키워드) Esophageal achalasia , Esophageal motility disorders , Guideline , Manometry , Myotomy
  • 주제(기타) Gastroenterology & Hepatology
  • 주제(기타) Clinical Neurology
  • 설명문(일반) [Jung, Hye-Kyung] Ewha Womans Univ, Dept Internal Med, Coll Med, Seoul, South Korea; [Hong, Su Jin] Soonchunhyang Univ, Digest Dis Ctr & Res Inst, Dept Internal Med, Coll Med, Bucheon, South Korea; [Lee, Oh Young] Hanyang Univ, Hanyang Univ Hosp, Dept Internal Med, Coll Med, Seoul, South Korea; [Pandolfino, John] Northwestern Univ, Feinberg Sch Med, Dept Med, Chicago, IL USA; [Park, Hyojin] Yonsei Univ, Gangnam Severance Hosp, Div Gastroenterol, Coll Med, Seoul, South Korea; [Miwa, Hiroto; Oshima, Tadayuki] Hyogo Coll Med, Dept Internal Med, Div Gastroenterol, Mukogawa Cho, Nishinomiya, Hyogo, Japan; [Ghoshal, Uday C.] Sanjay Gandhi Postgrad Inst Med Sci, Dept Gastroenterol, Lucknow, Uttar Pradesh, India; [Mahadeva, Sanjiv] Univ Malaya, Fac Med, Dept Med, Div Gastroenterol, Kuala Lumpur, Malaysia; [Chen, Minhu] Sun Yat Sen Univ, Dept Gastroenterol & Hepatol, Affiliated Hosp 1, Guangzhou, Peoples R China; [Chua, Andrew S. B.] Gastro Ctr, Ipoh, Malaysia; [Cho, Yu Kyung] Catholic Univ Korea, Seoul St Marys Hosp, Dept Internal Med, Div Gastroenterol & Hepatol, Seoul, South Korea; [Lee, Tae Hee] Soonchunhyang Univ Hosp, Coll Med, Dept Internal Med, Seoul, South Korea; [Min, Yang Won] Sungkyunkwan Univ, Samsung Med Ctr, Dept Med, Sch Med, Seoul, South Korea; [Park, Chan Hyuk] Hanyang Univ, Coll Med, Dept Internal Med, Guri Hosp, Guri, South Korea; [Kwon, Joong Goo] Daegu Catholic Univ, Dept Internal Med, Sch Med, Daegu, South Korea; [Park, Moo In; Jung, Kyoungwon; Kim, Sung Eun] Kosin Univ, Dept Internal Med, Coll Med, Busan, South Korea; [Park, Jong Kyu] Univ Ulsan, Gangneung Asan Hosp, Dept Internal Med, Coll Med, Kangnung, Gangwon Do, South Korea; [Jung, Kee Wook; Kim, Do Hoon] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Gastroenterol, Seoul, South Korea; [Lim, Hyun Chul] Yonsei Univ, Yongin Severance Hosp, Dept Internal Med, Coll Med, Yongin, South Korea; [Jung, Da Hyun] Yonsei Univ, Severance Hosp, Dept Internal Med, Div Gastroenterol,Coll Med, Seoul, South Korea; [Lim, Chul-Hyun] Catholic Univ Korea, Eunpyeong St Marys Hosp, Coll Med, Dept Internal Med, Seoul, South Korea; [Moon, Hee Seok] Chungnam Natl Univ, Dept Internal Med, Sch Med, Daejeon, South Korea; [Park, Jung Ho] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Internal Med, Div Gastroenterol,Sch Med, Seoul, South Korea; [Choi, Suck Chei] Wonkwang Univ, Dept Internal Med, Sch Med, Iksan, South Korea; [Choi, Suck Chei] Wonkwang Univ, Digest Dis Res Inst, Sch Med, Iksan, South Korea; [Suzuki, Hidekazu] Tokai Univ, Dept Gastroenterol & Hepatol, Sch Med, Isehara, Kanagawa, Japan; [Patcharatrakul, Tanisa] King Chulalongkorn Mem Hosp, Dept Med, Thai Red Cross Soc, Bangkok, Thailand; [Wu, Justin C. Y.] Prince Wales Hosp, Dept Med & Therapeut, Hong Kong, Peoples R China; [Lee, Kwang Jae] Ajou Univ, Dept Gastroenterol, Sch Med, Suwon, Gyeonggi Do, South Korea; [Tanaka, Shinwa] Kobe Univ Hosp, Dept Gastroenterol, Kobe, Hyogo, Japan; [Siah, Kewin T. H.] Natl Univ Hlth Syst, Div Gastroenterol & Hepatol, Singapore, Singapore; [Park, Kyung Sik] Keimyung Univ, Sch Med, Dept Internal Med, Daegu, Singapore
  • 등재 SCIE, SCOPUS, KCI등재
  • OA유형 gold, Green Published
  • 발행기관 KOREAN SOC NEUROGASTROENTEROLOGY & MOTILITY
  • 발행년도 2020
  • 총서유형 Journal
  • URI http://www.dcollection.net/handler/ewha/000000169215
  • 본문언어 영어
  • Published As https://dx.doi.org/10.5056/jnm20014
  • PubMed https://pubmed.ncbi.nlm.nih.gov/32235027

초록/요약

Esophageal achalasia is a primary motility disorder characterized by insufficient lower esophageal sphincter relaxation and loss of esophageal peristalsis. Achalasia is a chronic disease that causes progressive irreversible loss of esophageal motor function. The recent development of high-resolution manometry has facilitated the diagnosis of achalasia, and determining the achalasia subtypes based on high-resolution manometry can be important when deciding on treatment methods. Peroral endoscopic myotomy is less invasive than surgery with comparable efficacy. The present guidelines (the "2019 Seoul Consensus on Esophageal Achalasia Guidelines") were developed based on evidence-based medicine; the Asian Neurogastroenterology and Motility Association and Korean Society of Neurogastroenterology and Motility served as the operating and development committees, respectively. The development of the guidelines began in June 2018, and a draft consensus based on the Delphi process was achieved in April 2019. The guidelines consist of 18 recommendations: 2 pertaining to the definition and epidemiology of achalasia, 6 pertaining to diagnoses, and 10 pertaining to treatments. The endoscopic treatment section is based on the latest evidence from meta-analyses. Clinicians (including gastroenterologists, upper gastrointestinal tract surgeons, general physicians, nurses, and other hospital workers) and patients could use these guidelines to make an informed decision on the management of achalasia.

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