Annals Animated (March 2024)

Type I achalasia comprises 20% of achalasia and has nearly absent esophageal motor activity. Concerns that fundoplication decreases the effectiveness of Heller myotomy in these patients has increased adoption of peroral endoscopic myotomy (POEM). In this work, the authors compared outcomes after Heller myotomy with Dor fundoplication vs POEM. Despite nearly absent esophageal contractility, the authors found that Heller myotomy with Dor fundoplication and POEM result in similar long-term symptom relief, esophageal emptying, and occurrence of reintervention in patients with type I achalasia. Further, there is decreased esophageal acid exposure with the addition of a fundoplication, without compromised esophageal drainage, allaying fears of a detrimental effect of a fundoplication.
Read the accompanying article in The Annals of Thoracic Surgery: www.annalsthor...

[@raquelco602]

Is it the same for typen2 achalasia?