AIMC Topic: Esophageal Achalasia

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Comparison of measurement of integrated relaxation pressure by esophageal manometry with analysis of swallowing sounds with artificial intelligence in patients with achalasia.

Neurogastroenterology and motility
BACKGROUND: Esophageal motility disorders are mainly evaluated with high-resolution manometry (HRM) which is a time-consuming and uncomfortable procedure with potential adverse events. Acoustic characterization of the swallowing has the potential to ...

Achalasia phenotypes and prediction of peroral endoscopic myotomy outcomes using machine learning.

Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
OBJECTIVES: High-resolution manometry (HRM) and esophagography are used for achalasia diagnosis; however, achalasia phenotypes combining esophageal motility and morphology are unknown. Moreover, predicting treatment outcomes of peroral endoscopic myo...

Robotic Myotomy and Partial Fundoplication for Achalasia.

Journal of visualized experiments : JoVE
Laparoscopic Heller myotomy is currently considered the standard definitive treatment of achalasia. With the advancements in technology, robotic Heller myotomy has emerged as an alternative approach to traditional laparoscopy due to three-dimensional...

Robotic redo Heller myotomy: how I do it?

Langenbeck's archives of surgery
BACKGROUND: Despite the high success rate associated with Heller myotomy in the treatment of primary achalasia, symptom persistence or relapse occurs in approximately 10-20% of patients. Unfortunately, the ideal treatment after failed myotomy is not ...

Heller myotomy perforation: robotic visualization decreases perforation rate and revisional surgery is a perforation risk.

Journal of robotic surgery
Minimally invasive surgery (MIS) has improved surgical access to the foregut. While the benefits of MIS versus open surgery are well accepted, the relative benefits of laparoscopic versus robotic approaches continue to be debated. Procedure-specific ...

Achalasia subtypes can be identified with functional luminal imaging probe (FLIP) panometry using a supervised machine learning process.

Neurogastroenterology and motility
BACKGROUND: Achalasia subtypes on high-resolution manometry (HRM) prognosticate treatment response and help direct management plan. We aimed to utilize parameters of distension-induced contractility and pressurization on functional luminal imaging pr...