Treatment T

• Endoscopic:
• Pneumatic balloon dilation with Rigiflex balloon, beginning with 3 cm diameter a
• Heller Myotomy: Success 90%

- Side effect: long term GERD and PPI need; Need highly experienced surgeon

COMPLICATIONS: • • Esophageal cancer risk 2-7% Mean interval between diagnosis and cancer: 17 yrs • Most are squamous cell type .

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