European Guideline on Achalasia - UEG and ESNM recommendations
Por:
Nijhuis, RABO, Zaninotto, G, Roman, S, Boeckxstaens, GE, Fockens, P, Langendam, MW, Plumb, AA, Smout, AJPM, Targarona, EM, Trukhmanov, AS, Weusten, BLAM, Bredenoord, AJ
Publicada:
1 feb 2020
Resumen:
Introduction
Achalasia is a primary motor disorder of the oesophagus characterised by absence of peristalsis and insufficient lower oesophageal sphincter relaxation. With new advances and developments in achalasia management, there is an increasing demand for comprehensive evidence-based guidelines to assist clinicians in achalasia patient care.
Methods
Guidelines were established by a working group of representatives from United European Gastroenterology, European Society of Neurogastroenterology and Motility, European Society of Gastrointestinal and Abdominal Radiology, and the European Association of Endoscopic Surgery in accordance with the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. A systematic review of the literature was performed and the certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Recommendations were voted upon using a nominal group technique.
Results
These guidelines focus on the definition of achalasia, treatment aims, diagnostic tests, medical, endoscopic and surgical therapy, management of treatment failure, follow-up and oesophageal cancer risk.
Conclusion
These multidisciplinary guidelines provide a comprehensive evidence-based framework with recommendations on the diagnosis, treatment and follow-up of adult achalasia patients.
Filiaciones:
Nijhuis, RABO:
Univ Amsterdam, Dept Gastroenterol & Hepatol, Amsterdam Gastroenterol & Metab, Amsterdam Univ Med Ctr, Meibergdreef 9, Amsterdam, Netherlands
Zaninotto, G:
Imperial Coll, Dept Surg & Canc, London, England
Roman, S:
Hop Edouard Herriot, Digest Physiol, Lyon, France
Boeckxstaens, GE:
Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing, Translat Res Ctr Gastrointestinal Disorders, Leuven, Belgium
Fockens, P:
Univ Amsterdam, Dept Gastroenterol & Hepatol, Amsterdam Gastroenterol & Metab, Amsterdam Univ Med Ctr, Meibergdreef 9, Amsterdam, Netherlands
Langendam, MW:
Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Dept Clin Epidemiol Biostat & Bioinformat, Amsterdam UMC, Amsterdam, Netherlands
Plumb, AA:
UCL, Ctr Med Imaging, London, England
Smout, AJPM:
Univ Amsterdam, Dept Gastroenterol & Hepatol, Amsterdam Gastroenterol & Metab, Amsterdam Univ Med Ctr, Meibergdreef 9, Amsterdam, Netherlands
Targarona, EM:
Autonomous Univ Barcelona, Hosp De La Santa Creu & St Pau, Dept Gen & Digest Surg, Barcelona, Spain
Trukhmanov, AS:
Sechenov Univ, IM Sechenov First Moscow State Med Univ, Minist Hlth Russian Federat, Moscow, Russia
Weusten, BLAM:
St Antonius Hosp, Dept Gastroenterol & Hepatol, Nieuwegein, Netherlands
Univ Utrecht, Dept Gastroenterol & Hepatol, Univ Med Ctr Utrecht, Utrecht, Netherlands
Bredenoord, AJ:
Univ Amsterdam, Dept Gastroenterol & Hepatol, Amsterdam Gastroenterol & Metab, Amsterdam Univ Med Ctr, Meibergdreef 9, Amsterdam, Netherlands
Green Published, Hybrid Gold
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