Achalasia Diagnosis and Treatment 1st Edition by Marco Fisichella, Fernando Herbella, Marco Patti – Ebook PDF Instant Download/Delivery. 9783319135694
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ISBN 10:
ISBN 13: 9783319135694
Author: Marco Fisichella, Fernando Herbella, Marco Patti
Each chapter describes a very specific aspect of Achalasia by its known expert. Current diagnostic and management strategies of Achalasia, as well as the simplified operative approaches with relevant technical considerations, are outlined for the specific target audience.
The treatment of Achalasia is complex and usually performed in specialized tertiary-care centres. The Editors’ main goal is to render this disease more understandable and accessible to residents, fellows, and specialists in both the surgical disciplines (general surgery and thoracic surgery) and in gastroenterology.
Achalasia Diagnosis and Treatment 1st Table of contents:
Section 1: Introduction to Achalasia
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Overview of Achalasia
- Definition and Epidemiology of Achalasia
- Pathophysiology and Disease Mechanisms
- Clinical Relevance and Importance of Diagnosis
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Etiology and Risk Factors
- Genetic and Environmental Factors
- Autoimmune Theories and Neurological Mechanisms
- Secondary Causes of Achalasia
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Clinical Presentation
- Common Symptoms of Achalasia: Dysphagia, Regurgitation, and Chest Pain
- Rare and Atypical Presentations
- Complications of Untreated Achalasia
Section 2: Diagnosis of Achalasia
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History Taking and Clinical Examination
- Patient History: Key Questions to Ask
- Physical Examination Findings in Achalasia
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Imaging and Diagnostic Testing
- Barium Swallow: Diagnostic Imaging for Achalasia
- Esophageal Manometry: Procedure and Interpretation
- Endoscopy and Gastrointestinal Evaluation
- High-Resolution Manometry vs. Conventional Manometry
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Other Diagnostic Modalities
- Esophageal pH Monitoring and Impedance Testing
- 24-Hour pH Study and the Role of Esophageal pH Testing
- Novel Imaging Techniques in Achalasia Diagnosis
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Differential Diagnosis
- Distinguishing Achalasia from Other Esophageal Disorders
- Gastroesophageal Reflux Disease (GERD)
- Structural and Motility Disorders of the Esophagus
Section 3: Classification and Staging of Achalasia
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Chicago Classification of Achalasia
- Understanding the Chicago Classification System
- Types of Achalasia: Type I, II, and III
- Prognostic Implications of the Classification
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Staging of Achalasia
- Determining Disease Severity
- Predicting Treatment Outcomes Based on Disease Stage
Section 4: Medical Treatment of Achalasia
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Initial Management and Lifestyle Modifications
- Dietary Recommendations and Swallowing Techniques
- Importance of Avoiding Certain Foods and Liquids
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Pharmacological Therapy
- Calcium Channel Blockers: Mechanism of Action and Efficacy
- Nitrates and Their Role in Symptom Management
- Other Pharmacological Approaches
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Botulinum Toxin Injections
- Mechanism and Indications for Botulinum Toxin
- Procedure for Injection and Expected Outcomes
- Benefits and Limitations of Botulinum Toxin
Section 5: Surgical and Procedural Treatment
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Pneumatic Dilation
- The Procedure and Technique for Pneumatic Dilation
- Indications, Outcomes, and Success Rates
- Complications and Risks of Pneumatic Dilation
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Laparoscopic Heller Myotomy
- Indications for Heller Myotomy in Achalasia
- Surgical Technique and Approaches
- Postoperative Care and Rehabilitation
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Peroral Endoscopic Myotomy (POEM)
- Introduction to POEM Procedure
- Benefits, Risks, and Post-Operative Considerations
- Comparative Effectiveness with Other Procedures
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Esophageal Surgery and Fundoplication
- Fundoplication as an Adjunct or Alternative to Myotomy
- Surgical Techniques and Their Effectiveness
Section 6: Post-Treatment Management and Long-Term Care
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Postoperative Care Following Pneumatic Dilation or Surgery
- Immediate Post-Treatment Care and Monitoring
- Managing Dysphagia and Reflux After Surgery
- Nutrition and Lifestyle Modifications Post-Procedure
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Recurrence and Treatment Failures
- Management of Relapsed Achalasia
- When to Consider Repeat Myotomy or Other Procedures
- Alternatives for Treatment Resistance
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Quality of Life and Psychological Impact
- Psychological and Emotional Effects of Achalasia
- Coping Strategies and Support Resources for Patients
- Long-Term Follow-Up and Monitoring of Treatment Effectiveness
Section 7: Emerging Treatments and Future Directions
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Innovations in Achalasia Treatment
- New Surgical Techniques and Minimally Invasive Approaches
- Role of Stem Cell Therapy and Regenerative Medicine in Achalasia
- Advances in Pharmacological Research
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Genetic and Molecular Research
- Insights from Recent Research on Genetic Predisposition to Achalasia
- Future Directions in Personalized Medicine for Achalasia
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Achalasia in Special Populations
- Pediatric Achalasia: Diagnosis and Treatment Considerations
- Achalasia in Older Adults: Challenges and Management
Section 8: Case Studies and Clinical Scenarios
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Clinical Case Studies in Achalasia
- Case 1: Diagnosis and Management of a Young Adult with Achalasia
- Case 2: Treatment of Achalasia in a Geriatric Patient
- Case 3: Surgical Intervention for an Advanced Case of Achalasia
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Treatment Challenges and Controversies
- Debates in the Treatment of Achalasia
- Managing Complex Cases with Multiple Comorbidities
Section 9: Conclusion
- Summary of Achalasia Management
- Key Takeaways in Diagnosis and Treatment
- Multidisciplinary Approach to Achalasia Care
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