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Research Article Open access CC BY 4.0

The Current Management of Achalasia Cardia: A Narrative Review Article

Kumar H.R.

Asian Journal of Medicine and Health · pp. 40–48 · Published 3 Nov 2025

10.9734/ajmah/2025/v23i111314

Abstract

Achalasia cardia is a rare condition that leads to dysphagia due to the absence of myenteric cells in the lower esophagus. This condition is diagnosed with barium studies, esophageal manometry, and esophagogastroduodenoscopy. The management of achalasia cardia can be divided into endoscopy therapy, like pneumatic dilatation, and surgical therapy in the form of laparoscopic Heller’s myotomy or Per-oral endoscopic myotomy (POEM). In this review, we will investigate the role pneumatic dilatation, laparoscopic Heller’s myotomy, and Per-oral endoscopic myotomy (POEM) play in the management of achalasia cardia.

Achalasia cardiospasm spasm Endoscopy Heller’s myotomy Pneumatic dilatation POEM

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