Survey on Endoscopic Surveillance of Achalasia

Preamble

 
Dear Colleague

Surveillance in achalasia is fraught with controversies and varied clinical practise. There is an absence of established guideline from experts from either side of Atlantic and the idea of achalasia surveillance comes from anecdotal experience, case reports and retrospective studies with low numbers.

Through this survey, we aim to observe clinical practice with regards to achalasia surveillance.
Furthermore, put forward an argument for a nation-wide study and the creation of a database that would allow us to collect data on retrospect and prospective cases, management and incidence of malignancy to provide robust evidence on surveillance need and strategy.

Establishing current practice in the UK will enable a more realistic overview of whether surveillance in this small group of patients is worthwhile in terms of cost effectiveness and the overall impact on long-term survival.
As most clinicians will have only a small number of patients under their care, establishing a national database might be considered worthwhile to determine more accurately the risk involved and other predisposing factors.

Thank you taking time to complete this survey, our first step to establishing the greater need.

On behalf of the BSG and AUGIS

Dr Rohit Sinha
Prof Mike Bramble
Mr Sam Dresner
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