Achalasia Oesophageal motility disorder
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Treated achalasia patients WITH gastroesophageal reflux symptoms 1) Diagnosis of idiopathic achalasia confirmed by esophageal manometry that shows the following criteria: - Aperistalsis or simultaneous contractions in the esophageal body. - LES dysrelaxation. 2) Treatment of achalasia with one of the following procedures: - Endoscopic balloon dilatation - Surgical Heller myotomy - Per-oral endoscopic myotomy (POEM) 3) Minimum total score on the GastroEsophageal Reflux Disease Questionnaire (GERDQ) of * 8. 4) Gastroesophageal symptoms after treatment lasting more than 3 months. 5) Age 18-80 years. 6) Written informed consent.;Treated achalasia patients WITHOUT gastroesophageal reflux symptoms 1) Diagnosis of idiopathic achalasia confirmed by esophageal manometry that shows the following criteria: - Aperistalsis or simultaneous contractions in the esophageal body. - LES dysrelaxation. 2) Treatment of achalasia with one of the following procedures: - Endoscopic balloon dilatation - Surgical Heller myotomy - Per-oral endoscopic myotomy (POEM) 3) Maximum total score on the GastroEsophageal Reflux Disease Questionnaire (GERDQ) of
Exclusion criteria
Exclusion criteria: Treated achalasia patients WITH gastroesophageal reflux symptoms - Pseudoachalasia. - Upper gastrointestinal malignancy. - Chagas disease. - Peptic ulcer disease. - Inability to stop PPI, H2-receptor antagonist or prokinetic drug for two weeks. - Presence of an extremely dilated oesophagus body >5 cm.;Treated achalasia patients WITHOUT gastroesophageal reflux symptoms - Pseudoachalasia. - Upper gastrointestinal malignancy. - Chagas disease. - Peptic ulcer disease. - Inability to stop PPI, H2-receptor antagonist or prokinetic drug for two weeks. - Presence of an extremely dilated oesophagus body >5 cm.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gastroesophageal reflux episodes. | — |
Secondary
| Measure | Time frame |
|---|---|
| LES pressure. Esophagogastric junction distensibility. Sensitivity to acid perfusion and distension. Level of esophageal stasis. Widt/diameter of the esophagus. | — |
Countries
Netherlands