The choice of treatment method will depend on:
He or she then inflates a balloon at the esophageal sphincter. The muscle fibers are stretched. This relieves the pressure that blocks food from passing easily into the stomach.
Most patients experience relief from their symptoms for several years following dilation. The procedure may have to be repeated. Other treatments also may be needed.
The chief risk of balloon dilation is a tear in the esophagus, which occurs in a small number of patients. This requires emergency surgery.
Myotomy can be done laparoscopically. This means telescopic equipment is inserted through small incisions in the abdomen. Most people have good to excellent results.
Botulinum (Botox) is expensive, however. And its effects are relatively short-lived.
Improvements with these medications are quite variable. They are seldom used as primary therapy today.
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