Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow.

Autor: Chuah KH; Gastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia., Ramasami N; Gastroenterology and Hepatology Unit, Department of Medicine, Sultanah Bahiyah Hospital, Alor Setar, Kedah, Malaysia., Mahendran HA; Department of General Surgery, Sultanah Aminah Hospital, Johor Bahru, Johor, Malaysia., Shanmuganathan G; Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia., Koleth GG; Gastroenterology and Hepatology Unit, Department of Medicine, Sultan Ismail Hospital, Johor Bahru, Johor, Malaysia., Voon K; Department of General Surgery, Penang General Hospital, George Town, Penang, Malaysia., Gew LT; Gastroenterology and Hepatology Unit, Department of Medicine, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia., Jahit MS; Department of Surgery, National Cancer Institute, Putrajaya, Malaysia., Lau PC; Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.; Department of Surgery, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia., Muthukaruppan R; Gastroenterology and Hepatology Unit, Department of Medicine, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia., Said RHM; Gastroenterology and Hepatology Unit, Department of Medicine, Serdang Hospital, Serdang, Selangor, Malaysia., Mahadeva S; Gastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia., Ho SH; Gastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia., Lim SY; Department of General Surgery, Penang General Hospital, George Town, Penang, Malaysia., Tee SC; Department of Surgery, National Cancer Institute, Putrajaya, Malaysia., Siow SL; Department of General Surgery, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Ooi WK; Department of Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia., Lee YY; School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.; GI Function and Motility Unit, Universiti Sains Malaysia Hospital, Kota Bharu, Kelantan, Malaysia.
Jazyk: angličtina
Zdroj: Journal of gastroenterology and hepatology [J Gastroenterol Hepatol] 2024 Mar; Vol. 39 (3), pp. 431-445. Date of Electronic Publication: 2023 Dec 12.
DOI: 10.1111/jgh.16403
Abstrakt: Disorders of esophagogastric junction (EGJ) outflow, including achalasia and EGJ outflow obstruction, are motility disorders characterized by inadequate relaxation of lower esophageal sphincter with or without impaired esophageal peristalsis. Current guidelines are technical and less practical in the Asia-Pacific region, and there are still massive challenges in timely diagnosis and managing these disorders effectively. Therefore, a Malaysian joint societies' task force has developed a consensus on disorders of EGJ outflow based on the latest evidence, while taking into consideration the practical relevance of local and regional context and resources. Twenty-one statements were established after a series of meetings and extensive review of literatures. The Delphi method was used in the consensus voting process. This consensus focuses on the definition, diagnostic investigations, the aims of treatment outcome, non-surgical or surgical treatment options, management of treatment failure or relapse, and the management of complications. This consensus advocates the use of high-resolution esophageal manometry for diagnosis of disorders of EGJ outflow. Myotomy, via either endoscopy or laparoscopy, is the preferred treatment option, while pneumatic dilatation can serve as a secondary option. Evaluation and management of complications including post-procedural reflux and cancer surveillance are recommended.
(© 2023 The Authors. Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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