Understanding Achalasia Diagnosis in Turkey

A nationwide survey reveals doctors often delay diagnosis and treatment due to limited knowledge and equipment shortages.

The Challenge

• Achalasia is a rare disorder that makes swallowing difficult.
• Symptoms are often vague, leading to delayed recognition by healthcare providers.
• Existing diagnostic tools are underutilized.

Prior Research Limitations

• Earlier studies focused on single hospitals or were literature reviews.
• No comprehensive, country‑wide assessment existed.

The New Study

• Scope: Nationwide survey of Turkish physicians.
• Focus Areas:
• Knowledge about achalasia.
• Diagnostic tests used.
• Availability of high‑resolution manometry (HRM) machines.

Key Findings

1. Delayed Testing
   • Many doctors wait too long before ordering the correct test.
2. Equipment Availability vs. Confidence
   • Even when HRM machines are present, clinicians often lack confidence in interpreting results or choosing treatment plans.
3. Knowledge Gaps
   • Significant disparities in understanding disease mechanisms and management options.

Implications

• Delays in diagnosis contribute to prolonged patient suffering.
• Enhancing training programs and expanding access to advanced diagnostics could:
• Reduce diagnostic delays.
• Improve treatment outcomes.

Takeaway

The study highlights a critical need for:

• Targeted education on achalasia.
• Wider deployment of HRM technology.
• Standardized protocols to streamline diagnosis and care.

By addressing these gaps, Turkey can move toward faster, more accurate treatment for patients with achalasia.