MedPage Today on Dilation vs. Surgery

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I like it when I can read clear data that define " success " .

http://www.medpagetoday.com/Pulmonology/GeneralPulmonary/26467

Action Points

* Point out that this study found that achalasia outcomes with laparoscopic

myotomy were not superior to those with pneumatic dilation and suggest that

graded dilation is a reasonable protocol for pneumatic dilation.

* Note that there was a greater need for redilation in patients younger than

40 in the pneumatic-dilation group which may suggest that younger patients

should be treated preferentially with laporoscopic myotomy.