Is There a Role for Pneumatic Dilation in Primary Treatment of Achalasia? Pro: PD Should Always the First Choice for Achalasia Treatment.

Pneumatic dilatation (PD) should always be the first choice for achalasia treatment. In the following section, we will compare PD to other common achalasia procedures: intersphincteric botox injections (BTX), laparoscopic heller myotomy (LHM), and peroral endoscopic myotomy (POEM). We will focus on the limitation of studies leaning toward those procedures, and how PD data has proven good efficacy and safety. Will also discuss how in certain populations PD should always be the first choice.