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Articles Published Processes
9/15/2014 8:53:00 PM | Browse: 815 | Download: 800
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Received |
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2013-04-29 14:54 |
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Peer-Review Started |
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2013-05-02 13:47 |
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To Make the First Decision |
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2013-05-28 12:05 |
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Return for Revision |
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2013-06-09 16:42 |
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Revised |
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2013-06-17 22:21 |
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Second Decision |
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2013-07-05 11:54 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-07-05 12:59 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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2013-07-23 01:58 |
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Typeset the Manuscript |
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2013-08-15 11:47 |
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Publish the Manuscript Online |
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2013-09-09 09:30 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Review |
Article Title |
Current status in the treatment options for esophageal achalasia
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Manuscript Source |
Invited Manuscript |
All Author List |
Seng-Kee Chuah, Chien-Hua Chiu, Wei-Chen Tai, Jyong-Hong Lee, Hung-I Lu, Chi-Sin Changchien, Ping-Huei Tseng and Keng-Liang Wu |
Funding Agency and Grant Number |
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Corresponding Author |
Keng-Liang Wu, MD, Gastrointestinal Motility Unit, Division of Hepatogastroenterology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung 123, Ta-Pei Road, Niaosung Hsiang, Kaohsiung 833, Taiwan. chuahsk@seed.net.tw
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Key Words |
Esophageal achalasia; Endoscopic pneumatic dilations; Botulinum injection; Peroral endoscopic myotomy; Minimally invasive Heller myotomy |
Core Tip |
Recent progress in esophageal achalasia includes the use of high-resolution manometry to predict the outcome, the introduction of peroral endoscopic myotomy (POEM). The best current treatment option is an ongoing matter of debate. Unless there are more new conclusive data to prove otherwise, laparoscopic Heller myotomy is the most durable treatment for achalasia at the expense of reflux complications. However, pneumatic dilation (PD) is the first choice for non-surgical treatment and is more cost-effective. Repeated PD according to an "on-demand" strategy based on symptom recurrence can achieve long-term remission. POEM is optimistic but needs more long-term efficacy and safety reports.
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Publish Date |
2013-09-09 09:30 |
Citation |
Chuah SK, Chiu CH, Tai WC, Lee JH, Lu HI, Changchien CS, Tseng PH, Wu KL. Current status in the treatment options for esophageal achalasia. World J Gastroenterol 2013; 19(33): 5421-5429 |
URL |
http://www.wjgnet.com/1007-9327/full/v19/i33/5421.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v19.i33.5421 |
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