P1.013. Outcomes of Heller-Dor Myotomy and Per-Oral Endoscopic Myotomy for Esophageal Achalasia

Clicks: 15
ID: 326034
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #435 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 453 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Topic Benign Disease: Esophageal Function and Motility Background Esophageal achalasia is a rare motility disorder. Surgical interventions, including Heller myotomy with Dor fundoplication (HD) and per-oral endoscopic myotomy (POEM), are performed for medically refractory cases. This study aims to evaluate the surgical techniques and clinical outcomes of both procedures in patients treated at a single institution. Methods We reviewed 68 cases of esophageal achalasia (54 HD, 14 POEM). In the HD group (mean age 50.6), 51 underwent laparoscopic surgery. HD involved a 6cm esophageal and 2cm gastric myotomy with Dor fundoplication. The POEM group (mean age 42.6) underwent circular muscle myotomy via a submucosal tunnel. Clinical efficacy was assessed using the Eckardt score and lower esophageal sphincter pressure (LESP). Postoperative reflux esophagitis was evaluated using the Los Angeles (LA) classification. Results In the HD group, the Eckardt score significantly improved from 5.6 to 1.4 (p<0.001), and LESP decreased from 22.6 to 16.3 mmHg (p=0.017). In the POEM group, the Eckardt score improved from 5.9 to 1.4 (p<0.001), and LESP decreased from 31.2 to 12.3 mmHg (p=0.002). Postoperative reflux esophagitis (Grade A or higher) was significantly more frequent in the POEM group (37.5%) than in the HD group (9.3%; p=0.029); however, all cases were effectively managed medically. Conclusion Both HD and POEM are effective treatments for esophageal achalasia, providing significant symptomatic relief and reduction in LESP. While POEM is associated with a higher incidence of postoperative reflux esophagitis, both procedures remain valuable therapeutic options.
Reference Key
openalex_W7204013752 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Kengo Kuriyama, Makoto Sakai, Kosei Uehara, Takuhisa Okada, Takuya Shiraishi, Yuji Kumakura, Akiharu Kimura, Akihiko Sano, Ken Shirabe, Hiroshi Saeki
Are you one of these authors? Claim your profile
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.161
URL
https://doi.org/10.1093/dote/doag077.161
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.