New concepts on the physiopathology, diagnosis and treatment of achalasia;Nuevos conceptos en fisiopatología, diagnóstico y tratamiento de la acalasia

Revista de Investigacion Clinica

Volumn 50, Issue 3, 1998, Pages 263-276

  Carmona Sánchez, Ramón ^a   Valdovinos Díaz, Miguel Angel ^a  

^a INSTITUTO NACIONAL DE CIENCIAS MÉDICAS Y NUTRICIÓN SALVADOR ZUBIRÁN   (Mexico)

Author keywords

Achalasia; Botulinum toxin; Cardiomyotomy; Diagnosis; Differential diagnosis; Dilations; Esophageal cancer; Esophagomyotomy; Treatment

Indexed keywords

BETA 2 ADRENERGIC RECEPTOR STIMULATING AGENT; CHOLINERGIC RECEPTOR BLOCKING AGENT; DILTIAZEM; ISOSORBIDE; OPIATE AGONIST; VERAPAMIL;

DATA ANALYSIS; DIAGNOSTIC APPROACH ROUTE; ENDOSCOPY; ESOPHAGOGRAPHY; ESOPHAGUS ACHALASIA; ESOPHAGUS DILATATION; ESOPHAGUS MYOTOMY; HUMAN; MANOMETRY; MEDICAL LITERATURE; MYENTERIC PLEXUS; PATHOPHYSIOLOGY; REVIEW; ADULT; FEMALE; MALE;

ADULT; ESOPHAGEAL ACHALASIA; FEMALE; HUMANS; MALE;

EID: 0031709484     PISSN: 00348376     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (213)

1. Ouyang A, Cohen S. Motility disorders of the esophagus. En: Haubrich WS, Schaffner F, Berk JE, eds. Bockus gastroenterology. 5th ed. Philadelphia: WB Saunders; 1995:418-36.
2. Clouse RE. Motor disorders. En: Sleisenger MH, Fortran JS, eds. Gastrointestinal disease. Philadelphia: WB Saunders; 1989:559-93.
3. Serrano G, Tirado S, González-Montesinos F, Rivera-Olvera N. Tratamiento de la acalasia. Rev Invest Clin 1959; 11:65-74.
4. Elizondo J, Darón E, Escobedo V. Aspectos clínicos de la acalasia. En: Villalobos JJ, ed. Gastroenterología. 3ra ed. México: Méndez-Oteo; 1986:408-15.
5. De la Garza L, Canto-Jairala JA. Esofagocardiomiotomía o Heller modificado por vía torácica, para el tratamiento de la acalasia. Rev Mex Gastroenterol 1996; 61:199-207.
6. Carmona-Sánchez R. Acalasia: análisis retrospectivo de la presentación clínica, diagnóstico y respuesta al tratamiento [tesis]. México: UNAM; 1995.
7. Earlam RJ, Ellis FH, Nobrega FT. Achalasia of the esophagus in a small urban community. Mayo Clin Proc 1969; 44:478-83.
8. Mayberry JF, Atkinson M. Studies of incidence and prevalence in the Nottingham area. Q J Med 1985; 56:451-56.
9. Mittal RK, Balaban DH. The esophagogastric juction. N Engl J Med 1997; 336:924-32.
10. Cross FS. Pathologic changes in megaesophagus (esophageal dystonia). Surgery 1954; 31:747-53.
11. Friesen DL, Herdenson RD, Hanna W. Ultrastructure of the esophageal muscle in achalasia and diffuse esophageal spasm. Am J Clin Pathol 1983; 79:319-25.
12. Csendes A, Smok G, Braghetto I, Ramirez C, Velasco N, Henriques A. Gastroesophageal sphincter pressure and histological changes in distal esophagus in patients with achalasia of the esophagus. Dig Dis Sci 1985; 30:941-5.
13. Goldblum JR, Whyte RI, Orriger MB, Appelman HP. Achalasia: a morphologic study of 42 resected specimens. Am J Surg Pathol 1994; 18:327-37.
14. Goldblum JR, Rice TW, Richter JE. Histophatologic features in esophagomyotomy specimens from patients with achalasia. Gastroenterology 1996; 111:648-54.
15. Casella RR, Brown AL Jr, Sayre GP, Ellis F Jr. Achalasia of the esophagus: pathologic and etiologic considerations. Ann Surg 1964; 160:474-6.
16. Qualman SJ, Haupt AM, Yang P, Hamilton SR. Esophageal Lewy bodies associated with ganglion cell loss in achalasia. Similarity to Parkinson's disease. Gastroenterology 1984; 87:848-56.
17. Biancani P, Behar J. Esophageal motor function. En: Yamada T, ed. Textbook of gastroenterology. Philadelphia: Lippincott; 1995:158-80.
18. Firouzi M, Keshavarzian A. Guilliain-Barre syndrome and achalasia: two manifestations of the viral disease or coincidental association?. Am J Gastroenterol 1994; 89:1585-7.
19. Benini L, Sembenini C, Bulghin GM, Polo A, Ederle A, Zambito A, et al. A possible late cause of postpolio dysphagia. Dig Dis Sci 1996; 41:516-8.
20. Robertson CS, Martin BA, Atkinson M. Varicella-zoster virus DNA in the esophageal myenteric plexus in achalasia. Gut 1993; 34:299-302.
21. Castex F, Gullemont F, Talbodec N, Colombel JF, Paris JC, Cartotot A. Association of an attack of varicella and achalasia. Am J Gastroenterol 1996; 90;1188-9.
22. Niwamoto H, Okamoto E, Fujimoto J, Takeuchi M, Furuyama JI, Yamamoto Y. Are human herpes virus associated with esophageal achalasia? Dig Dis Sci 1995; 40:859-64.
23. Jones DB, Mayberry JF, Rhodes J, Monro J. Preliminary report of an association between measles virus and achalasia. J Clin Pathol 1983; 36:655-7.
24. Birgisson S, Galinski MS, Glodblum JR, Rice TW, Richter JE. Achalasia is not associated with measles or known herpes and papilloma viruses. Dig Dis Sci 1997; 42:300-6.
25. Verne GN, Sallustio JE, Eaker EY. Anti-myenteric neuronal antibodies in patients with achalasia. A prospective study. Dig Dis Sci 1997; 42:307-13.
26. Sigala S, Missale G, Missale C, Villanacci V, Cestari R, Grigolato PG, et al. Different neurotransmitter systems are involved in the development of esophageal achalasia. Life Sci 1995; 56:1311-20.
27. Mearin F, Mourelle M, Guarner F, Salas A, Riveros-Moreno V, Moncada S, et al. Patients with achalasia lack nitric oxide synthase in the gastroesophageal junction. Eur J Clin Inv 1993; 23:724-8.
28. Aggestrup S, Uddman R, Sundler F, Fahrenkrug J, Hakanson R, Rahbek-Sorensen H, et al. Lack of vasoactive intestinal polypeptide nerves in esophageal achalasia. Gastroenterology 1983; 84:924-7.
29. Helm JF, Layman RD, Eckert MD. Effect of chronic administration of Nw-nitro-L-arginine (LNNA) on the opossum esophagus and lower esophageal sphincter (LES) resembles achalasia. Gastroenterology 1992; 103:1375.
30. Holloway RH, Doods WJ, Helm JF, Hogan WJ, Dent J, Andorfer RC. Integrity of cholinergic innervation to the lower esophageal sphincter in achalasia. Gastroenterology 1986; 90:922-9.
31. Goyal RK, Hirano I. The enteric nervous system . N Engl J Med 1996; 334:1106-15.
32. Guarner V, Ramírez-Degollado J, Ize L, Carrasco A. Los fundamentos fisiopatológicos en el tratamiento de la acalasia. Gac Med Mex 1973; 106:399-408.
33. Bosher LP. Shaw A. Achalasia in slibings. Clinical and genetic aspects. Am J Dis Chlid 1981; 135:709-10.
34. Stein DT, Knauer CM. Achalasia in monocygotic twins. Dig Dis Sci 1982; 27:636-40.
35. Frieling T, Berges W, Borchard F, Lubke HJ, Enck P, Wienbeck M. Family occurrence of achalasia and diffuse spasm of the esophagus. Gut 1988; 29:1595-602.
36. Zimmerman FH, Resonweig NS. Achalasia in a father and son. Am J Gastroenterol 1984; 38:294-8.
37. Annese V, Napolitano G, Minervini MM, Perri F, Ciavarella G, Di Giorgio G, et al. Family occurrence of achalasia. J Clin Gastroenterol 1995; 20:329-30.
38. Preiksaitis HG, Miller L, Pearson FG, Diamant NE. Achalasia in Down's syndrome. J Clin Gastroenterol 1994; 19:105-7.
39. Piquer FC, Bosch JC, Palacios JS. Acalasia esofágica: a propósito de un caso de síndrome de Down. An Esp Pediatr 1988; 29:68-70.
40. Khong PL, Peh WC, Low LC, Leong LL. Variant of the triple A syndrome. Australas Radiol 1994; 38;222-4.
41. Gazarian M, Cowell CT, Bonney M, Grigor WG. The "4 A" syndrome: adrenocortical insufficiency associated with achalasia, alacrima autonomic and other neurological abnormalities. Eur J Pediatr 1995; 154:18-23.
42. Eckrich JD, Winans CS. Discordance for achalasia in identical twins. Dig Dis Sci 1979; 24:221-4.
43. Heinrich C, Tsigos C, Deschepper J, Drews R, Collu R, Dugardeyn C, et al. Familiar adrenocorticotropin unresponsiveness associated with alacrima and achalasia: biochemical and molecular studies in two siblings with clinical heterogeneity. Eur J Pediatr 1995; 154:191-6.
44. Reynolds JC, Darkman HP. Achalasia. Gastroenterol Clin North Am 1989; 18:223-55.
45. Stacher G, Kiss A, Wiesnagrotzki S, Bergmann H, Hobart J, Schneider C. Oesophageal and gastric motility disorders in patients categorized as having primary anorexia nervosa. Gut 1986; 27:1120-6.
46. Smart HL, Foster PN, Evans DF, Slevin B, Atkinson M. Twenty-four hour oesophageal acidity in achalasia before and after pneumatic dilatation. Gut 1987; 28:883-7.
47. Shoenut JP, Micflikier AB, Yaffe CS, Den-Boer B. Reflux in untreated achalasia patients. J Clin Gastroenterol 1995; 20:6-11.
48. Shoenut JP, Duerksen D, Yaffe CS. A prospective assessment of gastroesophageal reflux before treatment of achalasia patients: pneumatic dilation versus transthoracic limited myotomy. Am J Gastroenterol 1997; 92:1109-12.
49. Feldman M. Esophageal achalasia syndromes. Am J Med Sci 1988; 295:60-81.
50. Featherstone RJ, Camero LG, Khatib R, Snower D, Mungara P. Massive esophageal bleeding in achalasia complicated by citomegalovirus esophagitis. Ann Thor Surg 1995; 59:1021-2.
51. Mosley RG, Reicheldenfer, Sengupta A, Singaram C. Innervation of an esophageal ectatic submucosal blood vessel in achalasia and a comparison with normals. Am J Gastroenterol 1994; 89:1874-9.
52. Panzini L, Traube M. Stridor from tracheal obstruction in a patient with achalasia. Am J Gastroenterol 1993; 88:1097-100.
53. Aronchnik JM, Miller WT, Epstein DM, Gefter WB. Association of achalasia and pulmonary Mycobacterium fortuitum infection. Radiology 1986; 160:85-6.
54. Kahrilas PJ, Kishik SM, Helm JF, Doods WJ, Haring JM, Hogan WJ. Comparison of pseudoachalasia and achalasia. Am J Med 1987; 82:439-46.
55. Sandler RS, Bozymski EM, Orlando RC. Failure of clinical criteria to distinguish between primary achalasia and achalasia secondary to tumor. Dig Dis Sci 1982; 27:209-13.
56. Gorman RC, Morris JB, Kaiser LR. Esophageal disease in the elderly patient. Surg Clin North Am 1994; 74:93-112.
57. Herrera JL. Case report: esophageal metastasis from breast carcinoma presenting as achalasia. Am J Med Sci 1992; 303:321-3.
58. Goldin NR, Burns TW, Ferrante WA. Secondary achalasia: association with adenocarcinoma of the lung and reversal with radiation therapy. Am J Gastroenterol 1983; 78:204-5.
59. Roark G, Shabot M, Patterson M. Achalasia secondary to hepatocellular carcinoma. J Clin Gastroenterol 1983; 5:225-58.
60. Manela FD, Quingley EMM, Paustia FF, Taylor RJ. Achalasia of the esophagus in association with renal cell carcinoma. Am J Gastroenterol 1990; 85:1812-6.
61. Eaves R, Lambert J, Rees J, King RWF. Achalasia secondary to carcinoma of the prostate. Dig Dis Sci 1983; 28:278-84.
62. Eustace S, Fitzgerald E. Primary rhabdomyosarcoma of the diaphragm: an unusual cause of adolescent pseudoachalasia. Pediatr Radiol 1993; 23:622-3.
63. Idenburg FJ, Akkermans LM, Smout AJ, Kooijman CD, Obertop H. Leiomyoma of the distal esophagus mimicking achalasia. Neth J Surg 1991; 43:79-81.
64. Subramanyam K. Achalasia secondary to malignant mesothelioma of the pleura. J Clin Gastroenterol 1990; 12:183-7.
65. Nensey YM, Ibrahim MAH, Zonca MA, Ma CK. Peritoneal mesothelioma: an unusual cause of esophageal achalasia. Am J Gastroenterol 1990; 85:1617-20.
66. Rozman RW, Achkar E. Features distinguishing secondary achalasia from primary achalasia. Am J Gastroenterol 1990; 85:1327-30.
67. Tucker HJ, Snape WJ, Cohen S. Achalasia secondary to carcinoma: manometric and clinical features. Ann Intern Med 1978; 89:315-8.
68. Kirchoff LV. American trypanosomiasis (Chagas' disease). Gastroenterol Clin North Am 1996; 25:517-33.
69. de Oliveira RB, Resende-Filho J, Dantes RO, Iazigi N. The spectrum of esophageal motor disorders in Chagas disease. Am J Gastroenterol 1995; 90:1119-24.
70. Costigan DJ, Clouse RE. Achalasia-like esophagus from amyloidosis. Successful treatment with pneumatic bag dilatation. Dig Dis Sci 1983; 28:763.
71. Estrada CA, Lewandowski C, Schubert TT, Dorman PJ. Esophageal involvement in secondary amyloidosis mimicking achalasia. J Clin Gastroenterol 1990; 12:447-50.
72. Richter JE, Motility disorders of esophagus. En: Yamada T, ed. Textbook of gastroenterology. Philadelphia: Lippincott; 1995:1174-213.
73. Boruchowicz A, CanvaDelcambre V, Guillemont F, Pollet E, Trochu GX, Wallaert B, et al. Sarcoidosis and achalasia: a fortouitus association?. Am J Gastroenterol 1996; 91: 413-4.
74. Hollis JB, Castell DO, Braddom RL. Esophageal function in diabetes mellitus and its relation to peripheral neuropathy. Gastroenterology 1977; 73:1098-102.
75. Duntemann TJ, Dresner DM. Achalasia-like syndrome presenting after highly selective vagotomy. Dig Dis Sci 1995; 40:2081-3.
76. Schuffler MD. Chronic intestinal pseudo-obstruction syndromes. Med Clin North Am 1981; 65:1331-58.
77. Woods CA, Foutch PG, Waring JP, Sanovvski RA. Pancreatic pseudocyst as a cause of secondary achalasia. Gastroenterology 1989; 96:235-9.
78. Foster PN, Stewart M, Lowe JS, Atkinson M. Achalasia-like disorder of oesophagus in von Recklinghausen neurofibromatosis. Gut 1987; 28:1522-6.
79. Cuthbert JA, Galleghen ND, Turtle JR. Colonic and oesophageal disturbance in a patient with multiple endocrine neoplasia Type 2 b. Aust N Z J Med 1978; 8:518.
80. Ellingson TL, Kozarek R, Gelfand MD, Botoman AV, Patterson DJ. Iatrogenic achalasia. A case series. J Clin Gastroenterol 1995; 20:96-9.
81. Parrilla P, Aguayo JL, Martinez de Haro L, Ortiz A, Martinez DA, Morales G. Reversible achalasia-like motor pattern of esophageal body secondary to postoperative stricture of gastroesophageal junction. Dig Dis Sci 1992; 37:1781-4.
82. Orlando RC, Call DL, Bream CA. Achalasia and absent gastric air bubble. Ann Intern Med 1978; 88:60-1.
83. Ott DJ. Motility disorders of the esophagus. Radiol Clin North Am 1994; 32:1117-34.
84. Le Roux C, Marsot-Dupuch K, Trappe M, Legallis P, Chartier A. Megaesophagus. Ann Radiol Paris 1994; 37:519-23.
85. Cotton PB, Williams CB. Practical gastrointestinal endoscopy. Oxford: Blackwell; 1996.
86. Ferguson MK. Achalasia: a current evaluation and therapy. Ann Thorac Surg 1991; 52:336-42.
87. Sugarbaker DJ, Kearney DJ, Richards WG. Esophageal physiology and pathophysiology. Surg Clin North Am 1993; 73:1101-18.
88. Dent J, Holloway RH. Esophageal motility and reflux testing. Gastroenterol Clin North Am 1996; 25:51-73.
89. Castell DO. Achalasia and diffuse esophageal spasm. Arch Intern Med 1976; 136:571-9.
90. Ergun GA, Kahrilas PJ. Clinical applications of esophageal manometry and pH monitoring. Am J Gastroenterol 1996; 91:1077-89.
91. Todorczuk JR, Aliperti G, Staiano A, Clouse RE. Reevaluation of manometric criteria of vigorous achalasia. Dig Dis Sci 1991; 36:274-8.
92. Rusell COG, Hill LD, Holmes ER III, Hull DA, Gannon R, Pope CE II. Radionuclide transit: a sensitive screening test for esophageal dysfunction. Gastroenterology 1981; 80:887-92.
93. Stacher G, Schima W, ,Bergmann H, Stacher-Janotta G, Pokieser P, Lobmeyr I, et al. Sensitivity of radionuclide bolus transport and videofluoroscopic studies compared with manometry in the detection of achalasia. Am J Gastroenterol 1994; 89:1484-8.
94. Maurer AH, Fisher RS. Scintigraphy. En: Schuster MM, ed. Atlas of gastrointestinal motility. Baltimore: Williams & Wilkins; 1993:85-105.
95. Deviere J, Dunham F, Rickaert F. Endoscopic ultrasonography in achalasia. Gastroenterology 1989; 92:1210-3.
96. Ponsot P, Chaussade S, Palazzo L, Amouyal P, Gaudric M, Couturier D, et al. Endoscopic ultrasonography in achalasia. Gastroenterology 1990; 98:253.
97. Van Dam J, Falk GW, Sivak MV, Achkar E, Rice TW. Endosonographic evaluation of the patient with achalasia: appearance of the esophagus using the echoendoscope. Endoscopy 1995; 27:185-90.
98. Caletti G, Deviere J, Fockens P, Lees WR, Mortensen B, Odegaard S, et al. Guidelines of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopic ultrasonography. Part I: technique and upper gastrointestinal tract. Endoscopy 1996; 28:474-9.
99. Pasricha PJ. Proceedings of the first Johns Hopkins international symposium on gastrointestinal motility disorders; 1996 Nov 15-16; Baltimore. Baltimore: Gastrointestinal Motility and Digestive Disease Center. Johns Hopkins University School of Medicine, 1996.
100. Marzio L, Grossi L, DeLaurentiis MF, Cennamo L, Lapenna D, Cuccurullo F. Effect of cimetropium bromide on esophageal motility and transit in patients affected by primary achalasia. Dig Dis Sci 1994; 39:1389-94.
101. Penagini R, Bartesaghi B, Negri G, Bianchi PA. Effect of loperamide on lower esophageal sphincter pressure in idiopathic achalasia. Scand J Gastroenterol 1994; 29:1057-60.
102. Wong RK, Maydonovitch G, García JE, Johnson LF, Castell DO. The effect of terbutaline sulfate, nitroglycerin, and aminophylline on lower esophageal sphincter pressure and radionuclide esophageal emptying in patients with achalasia. J Clin Gastroenterol 1987; 9:386-9.
103. DiMarino AJ, Cohen S. Effect of an oral beta-2-adrenergic agonist on lower esophageal sphincter pressure in normals and in patients with achalasia. Dig Dis Sci 1982; 27:1063-6.
104. Thadani U, Opie LH. Nitrates. En: Opie LH, ed. Drugs for the heart. 3d ed. Philadelphia WB: Saunders; 1991:26-41.
105. Gelfond M, Rozen P, Keren S, Gilat T. Effects of nitrates on LOS pressure in achalasia: a potential therapeutic aid. Gut 1981; 22:312-8.
106. Gelfond M, Rozen P, Gilat T. Isosorbide dinitrate and nifedipine treatment of achalasia: a clinical manometric and radionuclide evaluation. Gastroenterology 1982; 83:963-9.
107. Traube M, McCallum RW. Calcium-channel blockers and the gastrointestinal tract. American College of Gastroenterology's Committee on FDA related matters. Am J Gastroenterol 1984; 79:892-6.
108. Becker BS, Burakoff R. The effect of verapamil on the lower esophageal sphincter pressure in normal subjects and in achalasia. Am J Gastroenterol 1983; 78:773-5.
109. Traube M, Dubovik S, Lange RC, McCallum RW. The role of nifedipine therapy in achalasia: results of a randomized double-blind, placebo controlled study. Am J Gastroenterology 1989; 84:1259-62.
110. Bortolotti M, Labo G. Clinical and manometric effects of nifedipine in patients with esophageal achalasia. Gastroenterology 1982; 80:39-44.
111. Thomas E, Lebow RA, Gubler RJ, Bryant LR. Nifedipine for the poor risk elderly patient with achalasia: objective response demonstrated by solid meal. South Med J 1984; 77:394-6.
112. Triadafilopoulos G, Aaronson M, Sackel S, Burakoff R. Medical treatment of esophageal achalasia. Dig Dis Sci 1991; 36:260-7.
113. Traube M. On drugs and dilators for achalasia. Dig Dis Sci 1991;36:257-9.
114. Benett JR, Hendrix TR. Treatment of achalasia with pneumatic dilators. Mod Treat 1970; 7:1217-28.
115. Vantrappen G, Hellemans J. Treatment of achalasia and related motor disorders. Gastroenterology 1980; 79: 144-54.
116. Fellows IW, Ogilvie AL, Atkinson M. Pneumatic dilation in achalasia. Gut 1983; 24:1020-3.
117. Barnett JL, Eisenman R, Nostrant TT, Elta GH. Witzel pneumatic dilation for achalasia: safety and long-term efficacy. Gastrointest Endosc 1990; 36:482-5.
118. Stark GA, Castell DO, Richter JE, Wu WC. Prospective randomization comparison of Brown-McHardy and microinvasive balloon dilators in the treatment of achalasia. Am J Gastroenterol 1990; 85:1322-6.
119. Cox J, Bucklon GK, Bennett JR. Balloon dilation in achalasia. A new dilator. Gut 1986; 27:986-9.
120. Kadakia SC, Wong RKH. Graded pneumatic dilation using rigiflex achalasia dilators in patients with primary esophageal achalasia. Am J Gastroenterol 1992; 88:34-8.
121. Kim CH, Cameron AJ, Hsu JJ, Talley NJ, Trastek VF, Pairolero PC, et al. Achalasia: a prospective evaluation of relationship between lower esophageal sphincter pressure, esophageal transit and esophageal diameter, and symptoms in response to pneumatic dilation. Mayo Clin Proc 1993; 68:1067-73.
122. Abid S, Champion G, Richter JE, McEverlin R, Slaughter RL, Koehler RE. Treatment of achalasia: the best of both worlds. Am J Gastroenterol 1994; 89:979-85.
123. Eckardt VF, Aignherr C, Bernhard G. Predictors of outcome in patients with achalasia treated by pneumatic dilation. Gastroenterology 1992; 103:1732-8.
124. Pertejo V, Garrigues V, Ponce J, Sala T, Pons V, Berenguer J. Predicting the response to pneumatic dilation in patients with achalasia. Gastroenterology 1994; 106:A556.
125. Jacobs JB, Cohen NL, Mattel S. Pneumatic dilation as the primary treatment for achalasia. Ann Otol Rhin Laryngol 1983; 92:353-6.
126. Robertson CS, Fellows IW, Mayberry JF, Atkinson M. Choice of therapy for achalasia in relation to age. Digestion 1988; 40:244-50.
127. Sauer L, Pellegrini CA, Way LW. The treatment of achalasia. A current perspective. Arch Sug 1989; 124:929-32.
128. Gelfand MD, Kazarack RA. An experience with polyethylene balloons for pneumatic dilation in achalasia. Am J Gastroenterol 1988; 84:924-7.
129. Eckardt VF, Kanzler G, Westermeier T. Complications and their impact after pneumatic dilation for achalasia: prospective long-term follow-up study. Gastrointest Endosc 1997; 45:349-53.
130. Khandelwal M, Ouyang A. Pneumatic dilation for achalasia: are all complications revealed? Gastrointest Endosc 1997; 45:437-8.
131. Dellipiani AW, Hewetson KA. Pneumatic dilation in the management of achalasia: experienece of 45 cases. Q J Med 1986; 58:253-8.
132. Csendes A, Braguetto E, Henriquez A, Cortes C. Late results of a prospective randomized study comparing forceful dilatation on esophagomyotomy in patients with achalasia. Gut 1989; 30:299-304.
133. Barkin JS, Guelrud M, Reiner DK, Goldberg RI, Phillips RS. Forceful balloon dilation: an outpatient procedure for achalasia. Gastrointest Endosc 1990; 36:123-6.
134. Bobadilla-Díaz J, Elizondo-Rivera J. Tratamiento de la acalasia. Experiencia en los Ultimos 17 anos en el Instituto Nacional de la Nutrición Salvador Zubirán. Rev Gastroenterol Mex 1995; 60 Supl 3:53.
135. Lens J, Bijvoet H, Gouw GN, Wamsteker H, Belsey RHR. Preliminary results of a long myotomy with antireflux procedure for achalasia of the oesophagus. Neth J Surg 1980; 32:49-55.
136. Nelems JMB, Cooper JD, Pearson FG. Treatment of achalasia: esophagomyotomy with antireflux procedure. Can J Surg 1980; 23:588-9.
137. Boulez J, Baulieux J, Mayer B, Peix JL, Donne R, Maillet P. Résultats éloignés de la myotomie de Heller dans le traitement de l'achalasie oesophagienne. Ann Gastroenterol Hepatol 1981; 17:321-8.
138. Moreno Gonzalez-Bueno C, Navarro-Pomares A. Reflexiones sobre distintos aspectos quirúrgicos de la acalasia esofágica. Experiencia y resultados en 74 enfermos intervenidos. Rev Esp Enferm Apar Dig 1981; 60:97-106.
139. Tomlinson P, Grant AF. A review of 74 patients with oesophageal achalasia: the results of Heller's cardiomyotomy, with and without Niessen fundoplication. Aust N J Surg 1981; 51:48-51.
140. Veiga-Fernandes F, Pinheiro MF, Guerreiro D. Cardiomyotomy associated with antireflux surgery in the treatment of achalasia. World J Surg 1981; 5:697-702.
141. Cabrero-Gomez F, Llobregat Poyan N, Apoita-Alonso R, Obispo-Martin JM, Hidalgo-Huerta M. Acalasia esofagica. Resultados en el tratamiento quirúrgico de 50 casos. Rev Esp Enferm Apar Dig 1982; 62:18-22.
142. Castrini G, Pappalardo G, Mobarhan S. New approach to esophagocardiomyotomy. J Thorac Cardiovasc Surg 1982; 84:575-8.
143. Duranceau A, LaFontaine ER, Vallieres B. Effects of total funduplication on function of the esophagus after myotomy for achalasia. Am J Surg 1982; 143:22-8.
144. Gallone L, Peri G, Galliera M. Proximal gastric vagotomy and anterior fundoplication as complementary procedures to Heller's operation for achalasia. Surg Gynecol Obstet 1982; 155:337-41.
145. Viard H, Favre JP, Fichere JP. Résultats de 90 opérations de Heller pour achalasie oesophagienne. Chirurgie 1983; 109:479-85.
146. Dotsenko AP, Pirozhenko VV, Litvinenko LA, Baidan VI. Cardiodilatation and cardiomyotomy in the treatment of cardial achalasia. Klin Khir 1984; 10:46-8.
147. Jamieson WRE, Miyagishima RT, Carr DM, Stordy SN, Sharp FR. Surgical management of primary motor disorders of the esophagus. Am J Surg 1984; 148:36-42.
148. Murray GF, Battaglini JW, Keagy BA, Starek PJK, Wilcox BR. Selective application of fundoplication in achalasia. Ann Thorac Surg 1984; 37:185-8.
149. Pai GP, Ellison RG, Rubin JW, Moore HV. Two decades of experience with modified Heller's myotomy for achalasia. Ann Thorac Surg 1984; 38:201-6.
150. Goulbourne IA, Walbaum PR. Long-term results of Heller's operation for achalasia. J R Coll Edimb 1985; 30:101-3.
151. Donahue PE, Samelson S, Schlesinger PK, Bombeck CT, Nyhus LM. Achalasia of the esophagus. Ann Surg 1986; 203:505-11.
152. Ellis FR Jr, Crozier RE, Watkins E Jr. Esophagomyotomy for achalasia. Dis Esoph 1988; 1:81-5.
153. Little AG, Soriano A, Ferguson MK, Winans CS, Skinner DB. Surgical treatment for achalasia: results with esophagomyotomy and Belsey repair. Ann Thorac Surg 1988; 45:489-94.
154. Stipa S, Fegiz G, Iascone C, Paolini A, Moraldi A, De Marchi C, et al. Heller-Belsey and Heller-Niessen operations for achalasia of the esophagus. Surg Gynecol Obstet 1990; 170:212-6.
155. Ellis FR Jr, Crozier RE, Watkins E Jr. Operation for esophageal achalasia. Results of esophagomyotomy without an antireflux operation. J Thorac Cardiovasc Surg 1984; 88:344-51.
156. Rosato E, Acker M, Curcillo RG, Reilly R, Reynolds J. Transabdominal esophagomyotomy and partial fundoplication for treatment of achalasia. Surg Gynecol Obstet 1991; 173:137-41.
157. Csendes A. Results of surgical treatment of achalasia of the esophagus. Hepatogastroenterology 1991; 38:474-80.
158. Bonavina L, Nosadini A, Bardini R, Baessato M, Peracchia A. Primary treatment of esophageal achalasia. Long-tern results of myotomy and Dor fundoplication. Arch Surg 1992; 127:222-6.
159. Ellis FR Jr. Oesophagomyotomy for achalasia; a 22-year experience. Br J Surg 1993; 80:882-5.
160. Guarner V, Ramirez-Degollado J, Herrera-Lutherot M, Quijano M. La operación de Heller con funduplicación en el tratamiento de la acalasia del esófago. Rev Gastroenterol Mex 1968; 33:211-22.
161. Tinajero-Ayala RG. Acalasia del esófago, su tratamiento y resultados. Rev Gastroenterol Mex 1968; 33:85-90
162. de Almeida JC, de Almeida JM. Via abdominal versus toracica para a miotomia por acalasia do esófago. Acta Med Port 1992; 5:467-71.
163. Shimi S, Nathanson LK, Cuschieri A. Laparoscopic cardiomyotomy for achalasia. J R Coll Edinb 1991; 36:152-4.
164. Pellegrini C, Wetter LA, Patti M, Leichter R, Mussan G, Mori T, et al. Thoracoscopic esophagomyotomy. Initial experience with a new approach for treatment of achalasia. Ann Surg 1992; 216:291-9.
165. Cuschieri A. The sprectum of laparoscopic surgery. Worl J Surg 1992; 16:1089-97.
166. Ancona E, Peracchia A, Zaninotto C, Rossi M, Bonavina L, Seglin A. Heller laparoscopic cardiomyotomy with antireflux fundoplication (Dor) in the treatment of achalasia. Surg Endosc 1993; 7:459-61.
167. Oddsdottir M. Laparoscopic management of achalasia. Surg Clin North Am 1996; 76:451-8.
168. Mucio M, Valdovinos MA. Acalasia: cirugía de invasión minima (experiencia de 2 años). Rev Gastroenterol Mex 1995; 60 Supl 3:33.
169. Orringer MB, Stirling MC. Esophageal resection for achalasia: indications and results. Ann Thorac Surg 1989; 47:340-5.
170. Little AG, Soriano A, Ferguson MK, Winans CS, Skinner DB. Surgical treatment of achalasia: results with esophagomyotomy and Belsey repair. Ann Thorac Surg 1988; 45:489-94.
171. Pinotti HW, Felix VN, Zilberstein B, Cecconello I. Surgical complications of Chagas disease: megaesophagus, achalasia of the pylorus, and cholelithiasis. World J Surg 1991; 15:198-204.
172. Miller DL, Allen MS, Trastek VF, Dschamps C, Pairolero PC. Esophageal resection for recurrent achalasia. Ann Thorac Surg 1995; 60:922-5.
173. Peters JH, Kauer WK, Crookes PF, Ireland AP, Bremner CC, DeMeester TR. Esophageal resection with colon interposition for end-stage achalasia. Arch Surg 1995; 130:632-6.
174. Pinotti HW, Cecconello I, da Rocha JM, Zilberstein B. Resection for the achalasia of the esophagus. Hepatogastroenterology 1991; 38:470-3.
175. Gayet B, Féketé F. Surgical management of failed esophagomyotomy (Heller's operation). Hepatogastroenterology 1991; 38:488-92.
176. Reeder LB, DeFilippi VJ, Ferguson MK. Current results of therapy for esophageal perforation. Am J Surg 1995; 169:615-7.
177. Peracchia A, Segalin A, Bardini R, Ruol A, Bonavina L, Baessato M. Esophageal carcinoma and achalasia: prevalence, incidence and results of treatment. Hepatogastroenterology 1991; 38:514-6.
178. Orringer MB, Stirling MC. Esophagectomy for esophageal disruption. Ann Thorac Surg 1990; 49:35-42.
179. Malthaner RA, Tood TR, Miller L, Pearson PG. Long-term results in surgically managed esophageal achalasia. Ann Thorac Surg 1994; 58:1343-6.
180. Pinotti HW, Habr-Gama A, Cecconello I, Felix VN, Zilberstein B. The surgical treatment of megaesophagus and megacolon. Dig Dis 1993; 11:206-15.
181. Simpson LL. The origin, structure, and pharmacological activity of botulinum toxin. Pharmacol Rev 1981; 33:155-88.
182. Jancovik J, Brin MF. Therapeutics uses of botulinum toxin. N Engl J Med 1991; 324:1186-94.
183. Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology. Assessment : the clinical usefulness of botulinum toxin A in treating neurological disorders. Neurology 1990; 40:1332-6.
184. Pasricha PJ, Ravich WJ, Kallo AN. Botulinum toxin for achalasia. Lancet 1993; i:244-5.
185. Pasricha PJ, Ravich WJ, Hendrix TR, Kallo AN. Treatment of achalasia with intrasphicteric injection of botulinum toxin-results of a pilot study. Gastroenterology 1993; 104:A168.
186. Pasricha PJ, Ravich WJ, Hendrix TR, Jones B, Sostre SJ, Kallo AN. Botulinum toxin for achalasia: a double-blind placebo controlled trial. Gastroenterology 1994; 106:A156.
187. Pasricha PJ, Ravich WJ, Hendrix TR, Jones B, Sostre SJ, Kallo AN. Treatment of achalasia with intrasphicteric injection of botulinum toxin: a pilot trial. Ann Intern Med 1994; 121:590-1.
188. Pasricha PJ, Ravich WJ, Hendrix TR, Jones B, Sostre SJ, Kallo AN. Intrasphicteric injection of botulinum toxin for the treatment of achalasia. N Engl J Med 1995; 332:774-8.
189. Rolan A, Gonzalez R, Carvajal S, Chianala J. Endoscopic intrasphicteric injection of botulinum toxin for treatment of achalasia. J Clin Gastroenterol 1995; 20:189-91.
190. Pasricha PJ, Rai R, Ravich WJ, Hendrix TR, Kallo AN. Botulinum toxin for achalasia: long-term outcome and predictors of response. Gastroenterology 1996; 110:1410-5.
191. Pasricha P. Achalasia -Botox, ballons or thoracoscopic myotomy? Postgraduate course. Integrate visual, technical and cognitive skills in endoscopy; 1996 May 23-24; San Francisco, Cal. American Society for Gastrointestinal Endoscopy, 1996.
192. Hoffman BJ, Knapple WL, Bhutani MS, Verne GN, Hawes RH. Treatment of achalasia by injection of botulinum toxin under endoscopic ultrasound guidance. Gastrointest Endosc 1997; 45:77-9.
193. Annese V, Basciani M, Perri F, Lombardi G, Frusciante V, Simone P, et al. Controlled trial of botulinum toxin injection versus placebo and pneumatic dilation in achalasia. Gastroenterology 1996; 111:1418-24.
194. Castell DO, Katzka DA. Botulinum toxin for achalasia: to be or not to be? Gastroenterology 1996; 110:1650-2.
195. Ortega JA, Madureri V, Pérez L. Endoscopic myotomy in the treatment of achalasia. Gastrointestinal Endosc 1980; 26:8-10.
196. Pasricha PJ, Kalloo AN. Recent advances in the treatment of achalasia. Gastrointest Endosc Clin North Am 1997; 7:191-206.
197. Moretó M, Ojembarrena E, Rodríguez M. Endoscopic injection of ethanolamine as a treatment for achalasia: a first report. Endoscopy 1996; 28:539-45.
198. Arvanitakis C. Achalasia of the esophagus: a reappraisal of esophagomyotomy vs forceful pneumatic dilatation. Am J Dig Dis 1975; 20:841-6.
199. Yon J, Christensen J. An uncontrolled comparison of treatment for achalasia. Ann Surg 1975; 182:672-6.
200. Vantrappen G, Janssens J. To dilate or to operate? That is the question. Gut 1983; 24:1013-9.
201. Sharma R, Achkar E. Predictors of success of pneumatic dilation in the treatment of achalasia. Gastroenterology 1994; 106:A177.
202. Junginger T, Hecker A, Boor S. Prognoseparameter nach operativer therapie der achalasie. Chirurg 1995; 66:313-8.
203. Sultan M, Norton R. Esophageal diameter and the treatment of achalasia. Am J Dig Dis 1969; 14:611-8.
204. Holloway RH, Krosin G, Lange RC, Baue AE, McCallum RW. Radionuclide esophageal emptying of a solid meal to quantitate results of therapy in achalasia. Gastroenterology 1983; 84:771-6.
205. Gross R, Johnson LF, Kaminski RJ. Esophageal emptying in achalasia quantitated by a radioisotope technique. Dig Dis Sci 1974; 24:945-9.
206. Lotart-Jacob JL, Richard CA, Pakete T, Testart J. Cardiospasm and esophageal carcinoma: report of 24 cases. Surgery 1969; 66:969-75.
207. Pierce WS, MacVaugh H III, Johnson J. Carcinoma of the esophagus arising in patients with achalasia of the cardia. J Thorac Cardiovasc Surg 1970; 59:335-9.
208. Bolivar JC, Herendeen TL. Carcinoma of the esophagus in achalasia. Ann Thorac Surg 1970;10:81-9.
209. Frank MS, Brandt LJ, Haas K, Parker JG. Malignant esophagopulmonary fistula complicating achalasia. Am J Gastroenterol 1979; 71:206-9.
210. Hankins JR, McLaughlin JS. The association of carcinoma of the esophagus with achalasia. J Thorac Cardiovasc Surg 1975; 69:355-60.
211. Sandler RS, Nyrén O, Ekbom A, Eisen GM, Yuen J, Josefsson S. The risk of esophageal cancer in patients with achalasia. JAMA 1995; 274:1359-62.
212. Chuong JJH, DuBovic S, McCallum RW. Achalasia as a risk factor for esophageal carcinoma: a reappraisal. Dig Dis Sci 1984; 29:1105-8.
213. American Society of Gastrointestinal Endoscopy. The role of endoscopy in the surveillance of premalignant conditions of the upper gastrointestinal tract. Guidelines for application. Disponible en: http://www.asge.org/Iibrary/ps/ postion.html.