Innovative Treatment Options Tailored to the Patient
The Hoag-USC Surgical Center for Digestive Disorders is a high-volume referral
center for complex esophageal disorders. Hoag’s
multidisciplinary team of esophageal experts works together to thoroughly review and determine the best treatment option
suited to each individual patient. The team then carefully tailors a personalized
treatment plan to effectively achieve the best possible outcome for the
patient. This emphasis on a collaborative, comprehensive approach to patient-centered
care is why Hoag patient outcomes rank are among the nation’s best.
When it comes to achalasia, there are several approaches that can be considered
depending upon the severity of the condition. The most common treatment
Heller Myotomy (Laparoscopic Myotomy with Fundoplication) is a surgery
performed to cut through one of the lower muscles in the esophagus, which
renders the muscle incompetent. This procedure is considered the gold
standard treatment as it relaxes the esophagus allowing food and liquids
to pass through more easily. There are several approaches to this procedure,
which can be used to treat a variety of swallowing disorders. The experts
at Hoag-USC perform a large number of laparoscopic procedures, accompanied
by a partial antireflux procedure known as a Dor partial fundoplication,
which helps to reduce the incidence of postoperative GERD often associated
with myotomy alone.
Esophageal dilation is non-surgical option that strives to gently stretch
and expand the width of the esophagus. During this procedure, a physician
uses an endoscope with a special balloon attached, or may pass a flexible
tube, to stretch the esophagus (dilatation). The main difference between
dilatation and surgery is durability. Dilatation often results in good
short-term outcomes, but usually requires re-intervention to maintain
its effect, whereas surgery is definitive. There is also a risk of perforating
the esophagus during dilation which can require emergency surgery.
Another non-surgical treatment for achalasia is the endoscopic injection
of botulinum toxin into the lower sphincter to weaken it. Treatment with
botulinum toxin is safe, but the effects on the sphincter often last only
for months, and additional injections with botulinum toxin may be necessary.
In addition, repeated therapy can result in scarring that can make future
surgery more complex.
Oral medications for achalasia generally include drugs called nitrates
that help relax smooth muscle in the body. Although some patients with
achalasia, particularly early in the disease, may experience some improvement
of symptoms with medications, most do not. Since outcomes with medication
therapy is generally ineffective, it is rarely used as the sole means
The Most Advanced Treatment Options Are Now Available in Orange County!
When it comes to seeking out the most advanced academic-level gastroesophageal
care, there is no longer any need to travel long distances. The
Hoag-USC Surgical Center for Digestive Diseases offers the latest in state-of-the-art diagnosis and leading-edge treatment
options that may not be readily available at other centers, including
participation in clinical trials that helps to bring advanced gastroesophageal
care to even more patients.
Perhaps the most distinguishing aspect of Hoag’s advanced treatment
of gastroesophageal conditions is that in each and every case, treatment
is always specifically tailored to the meet the unique needs of the individual patient.
Expert Care You Can Trust!
Hoag-USC Surgical Center for Digestive Diseases continues to lead the way in complex gastroesophageal care, providing access
to a highly specialized surgical team that works collaboratively with
Hoag-affiliated thoracic surgeons, gastroenterologists and medical oncology
specialists to provide academic-level care. Hoag’s committed to accurate
diagnosis, combined with progressive therapeutic options enables Hoag patients to
achieve some of the highest clinical outcomes in the nation.
To schedule a comprehensive diagnostic evaluation, or a second-opinion
consultation with a Hoag gastroesophageal expert, visit
Meet the Team, or call us at: 888-566-9712.