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Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow

Disorders of esophagogastric junction (EGJ) outflow, including achalasia and EGJ outflow obstruction, are motility disorders characterized by inadequate relaxation of lower esophageal sphincter with or without impaired esophageal peristalsis. Current guidelines are technical and less practical in th...

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Main Authors:	Chuah, Kee Huat, Ramasami, Naveen, Mahendran, Hans Alexander, Shanmuganathan, Ganesananthan, Koleth, Glenn George, Voon, Kelvin, Gew, Lai Teck, Jahit, Mohammad Shukri, Lau, Peng Choong, Muthukaruppan, Raman, Said, Rosaida Hj Md, Mahadeva, Sanjiv, Ho, Shiaw-Hooi, Lim, Shyang Yee, Tee, Sze Chee, Siow, Sze Li, Ooi, Wei Keat, Lee, Yeong Yeh
Format:	Article
Published:	Wiley 2024
Subjects:	R Medicine (General)
Online Access:	http://eprints.um.edu.my/45954/ https://doi.org/10.1111/jgh.16403
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spelling	my.um.eprints.459542024-11-14T07:17:09Z http://eprints.um.edu.my/45954/ Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow Chuah, Kee Huat Ramasami, Naveen Mahendran, Hans Alexander Shanmuganathan, Ganesananthan Koleth, Glenn George Voon, Kelvin Gew, Lai Teck Jahit, Mohammad Shukri Lau, Peng Choong Muthukaruppan, Raman Said, Rosaida Hj Md Mahadeva, Sanjiv Ho, Shiaw-Hooi Lim, Shyang Yee Tee, Sze Chee Siow, Sze Li Ooi, Wei Keat Lee, Yeong Yeh R Medicine (General) Disorders of esophagogastric junction (EGJ) outflow, including achalasia and EGJ outflow obstruction, are motility disorders characterized by inadequate relaxation of lower esophageal sphincter with or without impaired esophageal peristalsis. Current guidelines are technical and less practical in the Asia-Pacific region, and there are still massive challenges in timely diagnosis and managing these disorders effectively. Therefore, a Malaysian joint societies' task force has developed a consensus on disorders of EGJ outflow based on the latest evidence, while taking into consideration the practical relevance of local and regional context and resources. Twenty-one statements were established after a series of meetings and extensive review of literatures. The Delphi method was used in the consensus voting process. This consensus focuses on the definition, diagnostic investigations, the aims of treatment outcome, non-surgical or surgical treatment options, management of treatment failure or relapse, and the management of complications. This consensus advocates the use of high-resolution esophageal manometry for diagnosis of disorders of EGJ outflow. Myotomy, via either endoscopy or laparoscopy, is the preferred treatment option, while pneumatic dilatation can serve as a secondary option. Evaluation and management of complications including post-procedural reflux and cancer surveillance are recommended. image Wiley 2024-03 Article PeerReviewed Chuah, Kee Huat and Ramasami, Naveen and Mahendran, Hans Alexander and Shanmuganathan, Ganesananthan and Koleth, Glenn George and Voon, Kelvin and Gew, Lai Teck and Jahit, Mohammad Shukri and Lau, Peng Choong and Muthukaruppan, Raman and Said, Rosaida Hj Md and Mahadeva, Sanjiv and Ho, Shiaw-Hooi and Lim, Shyang Yee and Tee, Sze Chee and Siow, Sze Li and Ooi, Wei Keat and Lee, Yeong Yeh (2024) Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow. Journal of Gastroenterology and Hepatology, 39 (3). pp. 431-445. ISSN 0815-9319, DOI https://doi.org/10.1111/jgh.16403 <https://doi.org/10.1111/jgh.16403>. https://doi.org/10.1111/jgh.16403 10.1111/jgh.16403
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine (General)
spellingShingle	R Medicine (General) Chuah, Kee Huat Ramasami, Naveen Mahendran, Hans Alexander Shanmuganathan, Ganesananthan Koleth, Glenn George Voon, Kelvin Gew, Lai Teck Jahit, Mohammad Shukri Lau, Peng Choong Muthukaruppan, Raman Said, Rosaida Hj Md Mahadeva, Sanjiv Ho, Shiaw-Hooi Lim, Shyang Yee Tee, Sze Chee Siow, Sze Li Ooi, Wei Keat Lee, Yeong Yeh Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
description	Disorders of esophagogastric junction (EGJ) outflow, including achalasia and EGJ outflow obstruction, are motility disorders characterized by inadequate relaxation of lower esophageal sphincter with or without impaired esophageal peristalsis. Current guidelines are technical and less practical in the Asia-Pacific region, and there are still massive challenges in timely diagnosis and managing these disorders effectively. Therefore, a Malaysian joint societies' task force has developed a consensus on disorders of EGJ outflow based on the latest evidence, while taking into consideration the practical relevance of local and regional context and resources. Twenty-one statements were established after a series of meetings and extensive review of literatures. The Delphi method was used in the consensus voting process. This consensus focuses on the definition, diagnostic investigations, the aims of treatment outcome, non-surgical or surgical treatment options, management of treatment failure or relapse, and the management of complications. This consensus advocates the use of high-resolution esophageal manometry for diagnosis of disorders of EGJ outflow. Myotomy, via either endoscopy or laparoscopy, is the preferred treatment option, while pneumatic dilatation can serve as a secondary option. Evaluation and management of complications including post-procedural reflux and cancer surveillance are recommended. image
format	Article
author	Chuah, Kee Huat Ramasami, Naveen Mahendran, Hans Alexander Shanmuganathan, Ganesananthan Koleth, Glenn George Voon, Kelvin Gew, Lai Teck Jahit, Mohammad Shukri Lau, Peng Choong Muthukaruppan, Raman Said, Rosaida Hj Md Mahadeva, Sanjiv Ho, Shiaw-Hooi Lim, Shyang Yee Tee, Sze Chee Siow, Sze Li Ooi, Wei Keat Lee, Yeong Yeh
author_facet	Chuah, Kee Huat Ramasami, Naveen Mahendran, Hans Alexander Shanmuganathan, Ganesananthan Koleth, Glenn George Voon, Kelvin Gew, Lai Teck Jahit, Mohammad Shukri Lau, Peng Choong Muthukaruppan, Raman Said, Rosaida Hj Md Mahadeva, Sanjiv Ho, Shiaw-Hooi Lim, Shyang Yee Tee, Sze Chee Siow, Sze Li Ooi, Wei Keat Lee, Yeong Yeh
author_sort	Chuah, Kee Huat
title	Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
title_short	Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
title_full	Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
title_fullStr	Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
title_full_unstemmed	Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
title_sort	malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow
publisher	Wiley
publishDate	2024
url	http://eprints.um.edu.my/45954/ https://doi.org/10.1111/jgh.16403
_version_	1816130480694624256
score	13.244413

Malaysian joint societies' consensus recommendations on diagnosis and management of disorders of esophagogastric junction outflow

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