Journal Review in Minimally Invasive Surgery: Achalasia

  • Today, we’re diving into a condition that’s as fascinating as it is complex: Achalasia—where the esophagus stops playing nice, and swallowing becomes a daily challenge.

    We’re breaking down the latest evidence, comparing POEM, pneumatic dilation, and Heller myotomy, and digging into what actually matters when deciding how to treat each achalasia subtype.

    Join show hosts Drs. Jake Greenberg, Dana Portenier, Zach Weitzner, and Joey Lew as they discuss the past, present, and future of Achalasia management. Whether you're a medical student or a seasoned attending, this episode will arm you with the tools to think critically about diagnosis, tailor your treatment strategy, and stay ahead of the curve on the future of achalasia care.

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants

Learning Objectives

  • Describing the pathophysiology and key diagnostic criteria for achalasia, including the role of manometry, EGD, and esophagram.
  • Differentiating between the three subtypes of achalasia based on the Chicago Classification and understand the clinical significance of each.
  • Comparing treatment options for achalasia—pneumatic dilation, Lap Heller myotomy, and POEM—including indications, efficacy, and long-term outcomes.
  • Interpreting landmark studies (e.g., European Achalasia Trial, JAMA POEM trial) and their impact on treatment decision-making.
  • Recognizing patient-specific factors (age, comorbidities, achalasia subtype) that influence the choice of therapy.
  • Discussing evolving technologies and future directions in achalasia management, including endoluminal robotics, ARMS, and combined anti-reflux strategies.
  • Outlining a basic treatment algorithm for newly diagnosed achalasia, incorporating diagnostic steps and tailored interventions.
  • Appreciating the multidisciplinary approach to achalasia care, including the roles of MIS surgeons, gastroenterologists, and emerging procedural skillsets.
Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit(s)™
  • 0.25 ANCC
  • 0.25 Attendance
  • 0.25 JA Credit - AH
    • 0.25 Approved for AMA PRA Category 1 Credit(s)™
Registration Opens: 
09/15/2025
Registration Expires: 
09/14/2027
Part of: 
Behind the Knife Podcast (ENDURING)
Rating: 
0
Virtual, NC 27705
United States
  • Jacob Greenberg
  • Dana Portenier
  • Zachary Weitzner
  • Joey Lew

Jacob Greenberg and Dana Portenier have financial relationships to disclose

  • AMA PRA Category 1 Credit(s)
  • ANCC
  • Attendance
  • JA Credit - AH

Available Credit

  • 0.25 AMA PRA Category 1 Credit(s)™
  • 0.25 ANCC
  • 0.25 Attendance
  • 0.25 JA Credit - AH
    • 0.25 Approved for AMA PRA Category 1 Credit(s)™
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