One of the common cause of achalasia is a degeneration that occurs in the nerve cells of the oesophagus. This loss of nerve cells in the oesophagus results in problems like muscles which line the oesophagus don’t normally contract and the swallowed food doesn’t get pushed forward properly, the lower oesophageal sphincter fails to relax with swallowing which interferes with swallowing. These two problems result in accumulation of food and saliva in the dilated oesophagus.
Types : Achalasia Cardia can be treated with lifestyle modifications, oral medications and surgery to cut the sphincter but what is considered to be a successful and a painless treatment these days is Laparoscopic Esophagomyotomy or surgery for Achalasia Cardia.
Symptoms : the most common symptom of achalasia is trouble swallowing. While swallowing food or liquid the patient feels discomfort and a sensation that the food is getting stuck in the chest. Other symptoms include : heartburn, chest pain, lump in throat, weight loss and hiccups.
What you can expect :
Pre & During : The surgeon will make a small incision about 1cm in the upper abdomen with few small incisions to insert special surgical instruments and to put a tube in the abdomen. A telescope is inserted with a miniature camera which gives the clear view of the abdomen on the screen in the surgery room. The surgeon will then remove the blockage of the oesophagus and secure the incisions with stitches.
After : The pain will be minimal after the surgery. If you feel nauseous then you will be prescribed some medications for that. You will be allowed to consume liquids within 6-8 hours. You will be discharged within 48 to 72 hours. Recovery is quick because of minimal incisions.