Achalasia

Discover Expert Care for Achalasia in Dubai

Achalasia Diagnosis & Treatment in Dubai

Welcome to the world of Achalasia treatment, guided by Dr. Ahmed Hassn, a highly skilled and experienced Best Laparoscopic & Bariatric Surgeon in Dubai.

Dr. Ahmed Hassn is dedicated to surgical excellence and improving the quality of life for his patients post-surgery. Since 1999, he has been performing advanced laparoscopic procedures to treat Achalasia, a condition that affects the esophagus, in the UK. Dr. Hassn has published research on the benefits of minimally invasive techniques for treating Achalasia and has presented his innovative methods at numerous international conferences.

What is Achalasia?

Achalasia is a rare esophageal disorder where the lower esophageal sphincter fails to relax, making it difficult for food and liquids to pass into the stomach, leading to swallowing difficulties and other related symptoms.

Types of Achalasia

There are different types of Achalasia, including:

Inguinal Hernia-

Classic Achalasia

LES fails to relax, causing dilation

Umbilical Hernia

Achalasia with Esophageal Compression

Esophageal compression with increased pressure, LES dysfunction.

Incisional Hernia

Spastic Achalasia

Spastic contractions with LES dysfunction, severe chest pain.

Causes of Achalasia

The exact cause of Achalasia is unknown, but potential factors include:

  • Loss of nerve cells in the esophagus, particularly those controlling muscle movement.
  • The body’s immune system mistakenly attacks the nerve cells in the esophagus.
  • A small number of cases may be linked to inherited genetic mutations.
  • Some research suggests a viral infection could trigger the immune response leading to Achalasia

Symptoms of Achalasia

The symptoms of Achalasia may vary in severity. Common symptoms include:

  • Difficulty swallowing, especially solids and liquids.
  • Regurgitation of undigested food or liquid.
  • Chest pain or discomfort, often after eating.
  • Weight loss due to eating difficulties.
  • Persistent cough or aspiration-related respiratory issues.
 
 

Diagnostic Methods

Diagnostic methods for Achalasia may include:

  • Endoscopy: Visualization of the esophagus to check for abnormalities.
  • Manometry: Measurement of esophageal muscle contractions and LES pressure.
  • Barium Swallow X-ray: Imaging to observe how food and liquid move through the esophagus.
  • CT Scan: Detailed images to assess the structure of the esophagus.

Treatments for Achalasia

Available treatments for Achalasia include:

  • Medication: Botox injections or oral medications to relax the LES.
  • Balloon Dilation: A balloon is inflated to stretch the LES and improve passage.
  • Surgery: Laparoscopic Heller myotomy to cut the muscles of the LES.
  • Endoscopic Techniques: Various methods to reduce LES pressure and improve swallowing.

Surgical Options

Surgical options for Achalasia include:

  • Laparoscopic Heller Myotomy: Cutting the LES muscles to improve swallowing.
  • Peroral Endoscopic Myotomy (POEM): An endoscopic procedure to cut the LES muscles.
  • Fundoplication: Often performed with myotomy to prevent acid reflux by wrapping the stomach around the lower esophagus.

Postoperative Care

Postoperative care for Achalasia surgery includes:

  • Diet: Start with clear liquids and gradually move to soft foods.
  • Medications: Pain relievers and acid reducers as prescribed.
  • Follow-Up: Regular check-ups to monitor recovery and esophageal function.
  • Activity: Gradual return to normal activities; avoid heavy lifting initially.
  • Monitoring: Watch for signs of complications, such as difficulty swallowing or chest pain

FAQ about Achalasia

Treatments for Achalasia include medications (such as Botox), balloon dilation, laparoscopic Heller myotomy, and endoscopic techniques.

Postoperative care involves a special diet, medication for pain and acid reduction, follow-up appointments, gradual return to normal activities, and monitoring for any complications.

It can impact eating and drinking, cause discomfort, lead to weight loss, and affect overall quality of life.

Yes, eating smaller, more frequent meals, avoiding hard-to-swallow foods, and eating slowly can help manage symptoms.

Risks may include infection, bleeding, esophageal perforation, and potential long-term issues like acid reflux or swallowing difficulties.