Diagnosis

Symptomatic Assessment

• Eckardt Score (0-12)

Diagnostic Assessment

• Esophageal Motility Disorders: Chicago Classification v4

• Achalasia 3 Subtypes Description

• Achalasia 3 Subtypes HRM

Instruments

• HRM (first line) High Resolution Manometry (HRM)
• EndoFLIP

Rule out pseudo achalasia!

• Example Case

Assessment/Staging

Subtypes

Treatment

• POEM vs LHM
• POEM > PD
• PD: 60-70% success, least AEs