Recurrent achalasia

Achalasia is characterized by impaired LES relaxation and by the lack of peristalsis in the distal esophagus it is accompanied by the loss of myenteric ganglion of the distal esophagus. it is not yet known why myenteric plexuses degenerate. is supposed to be an autoimmune process driven by a viral infection on a genetically vulnerable subject. Heller myotomy achieves a significant improvement in patient signs but 5-year barium surveillance shows relapse is not uncommon and goes up to 90% for the third type. 69% of patients after surgery have at least one symptom after myotomy. The study reviewed the literature for 2013 to 2019 and assessed the role of Redo Heller. Botox Poem and esophagectomy. There are few studies of reintervention after Heller myotomy in patients with achalasia. Therapeutic Dilemma: What to Do After a Heller Myotomy? Balloon? Botox? , Poem? Esophagectomy? 69% of patients after surgery have at least one symptom after myotomy. Reintervention in some studies over 5 years goes up to 62% for the first type, 74% for the second type, and 87% for the third type. After reintervention the chances of reintervention are 50% for the next 2 years. An annual barium survey is recommended. Keywords:Achalasia, myotomy, balloon, esophagotomy

The 6th Albanian Congress of Trauma and Emergency Surgery

After a three-year quarantine from the deadliest global pandemic of the last century, ASTES is organizing to gather all health professionals in Tirana, The 6th Albanian Congress of Trauma and Emergency Surgery(ACTES 2022) on 11-12 November 2022, with the topic Trauma & Emergency Surgery and not only...with the aim of providing high quality, the best standards, and the best results, for our patients ...ACTES 2022 is the largest event that ASTES (Albanian Society for Trauma and Emergency Surgery) has organized so far with 230 presentations, and 67 foreign lecturers with enviable geography, making it the largest national and wider scientific event.The scientific program is as strong as ever, thanks to the inclusiveness, where all the participants with a mix of foreign and local lecturers, select the best of the moment in medical science, innovation, and observation.The scientific committee has selected all the presentations so that the participants of each medical discipline will have something to learn, discuss, debate, and agree with updated methods, techniques, and protocols.I hope you will join us on Friday morning, and continue the journey of our two-day event together