According to a doctor for achalasia cardia treatment in Kolkata, achalasia can be treated surgically or non-surgically.
Non-surgical options include balloon dilation, medications, and botulinum toxin injection. The treatment objective is to alleviate your symptoms through relaxation of the lower esophageal sphincter (LES).
Your healthcare provider will discuss these options with you to determine the best course of action based on the seriousness of your condition and your personal preferences.
But before you can decide on which treatment option to choose, you need to understand the various outcomes.
So, here are the various achalasia cardia treatment and their outcomes –
Balloon Dilation
In this non-surgical procedure, you will be sedated lightly, and a specially designed balloon will be inserted and inflated through the Lower Esophageal Sphincter (LES.)
The procedure relaxes the sphincter muscle in your stomach, allowing food to enter. Balloon dilation is frequently used as the first line of defense in patients who have failed surgery.
Outcome
The procedure improves symptoms in between 50% and 93% of patients with achalasia. Remember that the procedure may need to be repeated if symptom improvement is to be maintained.
Repeated dilations, however, can increase the risk of causing a hole in your esophagus, says an achalasia cardia treatment doctor in Kolkata.
Minimally Invasive Surgery
Achalasia can be treated surgically with laparoscopic esophagostomy or laparoscopic Heller myotomy. The procedure involves the insertion of a thin, telescopic-like instrument called an endoscope that is inserted through a small incision.
The endoscope is attached to a miniature video camera – about the size of a coin – that projects a view of the surgical site onto video monitors in the operating room.
The LES muscle fibers are cut during this procedure. Additionally, a partial fundoplication procedure is performed to help prevent acid reflux, a side effect of the Heller myotomy procedure.
Outcome
The surgery is effective in 76–100% of patients with achalasia. Bear in mind that up to 15% of people experience symptoms of gastroesophageal reflux following surgery.
Medication
According to the achalasia cardia treatment doctor in Kolkata, you may benefit from Botox injections if you choose not to undergo balloon dilation or surgery.
When injected in small amounts, it relaxes the spastic muscles. It works by inhibiting the nerve signals sent to the sphincter muscles instructing them to contract. Repeat injections are required to maintain symptom control.
Additionally, doctors may use medications such as nifedipine or isosorbide. These medications lower the LES pressure, which relaxes spastic esophageal muscles.
These medications are less effective than surgery or balloon dilation and only provide temporary relief from your symptoms.
Outcome
This achalasia cardia treatment in Kolkata successfully relaxes muscle spasms in 35% of people with achalasia. Nifedipine improves symptoms in 0% to 75% of people with achalasia, and isosorbide improves symptoms in 53% to 87%.
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