Achalasia care at Mayo Clinic

Your Mayo Clinic care team

Mayo Clinic's achalasia team includes doctors trained in digestive disorders (gastroenterologists). Specialists in the Esophageal Interest Group are frequently involved in care.

Having all of this subspecialized expertise in a single place, focused on you, means that you're not just getting one opinion — care is discussed among the team, appointments are scheduled in coordination, and highly specialized achalasia experts are all working together to determine what's best for you.

Advanced diagnosis and treatment

Achalasia can be easily mistaken for gastroesophageal reflux disease (GERD). Untreated achalasia can progress to end-stage disease, which might require removal of the esophagus. Specialists at Mayo Clinic are skilled in distinguishing achalasia from GERD and other digestive diseases. Mayo Clinic also has high-resolution esophageal manometry to assess the severity of your achalasia and guide treatment decisions.

Treatments for achalasia — including pneumatic dilation, surgical myotomy and particularly POEM — should be performed in high-volume centers of excellence. Mayo Clinic has esophageal specialists with experience performing these procedures.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., ranks No. 1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for digestive disorders by U.S. News & World Report. Mayo Clinic also ranks among the Best Children's Hospitals for digestive disorders.

July 11, 2017
References
  1. Spechler SJ. Achalasia: Pathogenesis, clinical manifestations, and diagnosis. http://www.uptodate.com/home. Accessed Feb. 3, 2017.
  2. Feldman M, et al. Esophageal neuromuscular function and motility disorders. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Jan. 17, 2017.
  3. Sawas T, et al. The course of achalasia one to four decades after initial treatment. Alimentary Pharmacology and Therapeutics. 2017;45:553.
  4. Spechler SJ. Overview of the treatment of achalasia. http://www.uptodate.com/home. Accessed Feb. 3, 2017.
  5. Krill JT, et al. Clinical management of achalasia: Current state of the art. Clinical and Experimental Gastroenterology. 2016;9:71.
  6. Bechara R, et al. POEM, the prototypical 'new NOTES' procedure and first successful NOTES procedure. Gastrointestinal Endoscopy Clinics of North America. 2016;26:237.
  7. Patti MG, et al. POEM vs laparoscopic Heller myotomy and fundoplication: Which is now the gold standard for treatment of achalasia? Journal of Gastrointestinal Surgery. 2017;21:207.
  8. Brown AY. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Jan. 24, 2017.