Achalasia Cardia is the failure of (LES) lower esophageal sphincter to relax and let the food pass down to the stomach which leads to difficulty in swallowing food. It makes hard to pass the foods and liquids to the stomach.
Achalasia can be ignored or misdiagnosed because its symptoms are quite similar to other digestive disorders. Further tests for Achalasia may include
Achalasia treatment is based on relaxing or forcing open the lower esophageal sphincter so that food and fluid can go more easily through your digestive tract.
Surgery is recommended for younger people because nonsurgical treatment may be less effective in this group. Surgical options may include:
Heller myotomy: In this procedure, your surgeon cuts the muscle at the lower end of the esophageal sphincter to let food pass more easily into the stomach. The surgery can also be done noninvasively.
Fundoplication: Your surgeon wraps the top of your stomach around the lower esophageal sphincter, to tighten the muscle and stop acid reflux. Fundoplication may be done at the time of Heller myotomy, to prevent future problems with acid reflux. Fundoplication is generally done with a minimally invasive (laparoscopic) procedure.
Peroral endoscopic myotomy In this procedure, your surgeon inserts an endoscope through your mouth and down your throat to make an incision in the inside lining of your esophagus. Then, like Heller myotomy, the surgeon cuts the muscle at the lower end of the esophageal sphincter. POEM method doesn't include an anti-reflux procedure.