{"id":"https://openalex.org/W7203944216","doi":"https://doi.org/10.1093/dote/doag077.002","title":"P04.3. Long-Term Outcomes of Peroral Endoscopic Versus Laparoscopic Myotomy for Achalasia: A Population-Based Cohort Study","display_name":"P04.3. Long-Term Outcomes of Peroral Endoscopic Versus Laparoscopic Myotomy for Achalasia: A Population-Based Cohort Study","publication_year":2026,"publication_date":"2026-08-22","ids":{"openalex":"https://openalex.org/W7203944216","doi":"https://doi.org/10.1093/dote/doag077.002"},"language":"en","primary_location":{"id":"doi:10.1093/dote/doag077.002","doi":"https://doi.org/10.1093/dote/doag077.002","is_oa":true,"landing_page_url":"https://doi.org/10.1093/dote/doag077.002","pdf_url":"https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.002/70760795/doag077.002.pdf","source":{"id":"https://openalex.org/S170171939","display_name":"Diseases of the Esophagus","issn_l":"1120-8694","issn":["1120-8694","1442-2050"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diseases of the Esophagus","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.002/70760795/doag077.002.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032014190","display_name":"Matthew G. R. Allaway","orcid":"https://orcid.org/0000-0001-7794-5094","observed_orcids":["https://orcid.org/0000-0001-7794-5094"]},"institutions":[{"id":"https://openalex.org/I2803024705","display_name":"Westmead Hospital","ror":"https://ror.org/04gp5yv64","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2803024705","https://openalex.org/I4405259172"]},{"id":"https://openalex.org/I63525965","display_name":"Western Sydney University","ror":"https://ror.org/03t52dk35","country_code":"AU","type":"education","lineage":["https://openalex.org/I63525965"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Matthew Allaway","raw_affiliation_strings":["Department of Surgery, Westmead Hospital , Westmead ,","Western Sydney University School of Medicine , Sydney ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Westmead Hospital , Westmead ,","institution_ids":["https://openalex.org/I2803024705"]},{"raw_affiliation_string":"Western Sydney University School of Medicine , Sydney ,","institution_ids":["https://openalex.org/I63525965"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104260887","display_name":"Jane Yan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Jane Yan","raw_affiliation_strings":["Institute of Environmental Medicine, Karolinska Institutet , Stockholm ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Environmental Medicine, Karolinska Institutet , Stockholm ,","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147798926","display_name":"David Watson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169541294","display_name":"Flinders University","ror":"https://ror.org/01kpzv902","country_code":"AU","type":"education","lineage":["https://openalex.org/I169541294"]},{"id":"https://openalex.org/I2802931750","display_name":"Flinders Medical Centre","ror":"https://ror.org/020aczd56","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802931750"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"David Watson","raw_affiliation_strings":["College of Medicine & Public Health, Flinders University , Adelaide ,","Department of Surgery, Flinders Medical Centre , Adelaide ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine & Public Health, Flinders University , Adelaide ,","institution_ids":["https://openalex.org/I169541294"]},{"raw_affiliation_string":"Department of Surgery, Flinders Medical Centre , Adelaide ,","institution_ids":["https://openalex.org/I2802931750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038510684","display_name":"Wilhelm Leijonmarck","orcid":"https://orcid.org/0000-0003-1054-512X","observed_orcids":["https://orcid.org/0000-0003-1054-512X"]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Wilhelm Leijonmarck","raw_affiliation_strings":["Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden , Stockholm ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden , Stockholm ,","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046459824","display_name":"Bengt H\u00e5kanson","orcid":"https://orcid.org/0000-0003-3368-4878","observed_orcids":["https://orcid.org/0000-0003-3368-4878"]},"institutions":[{"id":"https://openalex.org/I4210103464","display_name":"Ersta sjukhus","ror":"https://ror.org/019tstz42","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210103464"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Bengt H\u00e5kanson","raw_affiliation_strings":["Department of Surgery, Ersta Hospital , Stockholm ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Ersta Hospital , Stockholm ,","institution_ids":["https://openalex.org/I4210103464"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010806995","display_name":"Marcus Hansson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210103464","display_name":"Ersta sjukhus","ror":"https://ror.org/019tstz42","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210103464"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Marcus Hansson","raw_affiliation_strings":["Department of Surgery, Ersta Hospital , Stockholm ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Ersta Hospital , Stockholm ,","institution_ids":["https://openalex.org/I4210103464"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108186531","display_name":"Lars Lundell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Lars Lundell","raw_affiliation_strings":["Division of Surgery and Oncology, CLINTEC, Karolinska Institutet , Stockholm ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Surgery and Oncology, CLINTEC, Karolinska Institutet , Stockholm ,","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087816012","display_name":"Anders Thorell","orcid":"https://orcid.org/0000-0001-7238-1728","observed_orcids":["https://orcid.org/0000-0001-7238-1728"]},"institutions":[{"id":"https://openalex.org/I4210103464","display_name":"Ersta sjukhus","ror":"https://ror.org/019tstz42","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I4210103464"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Anders Thorell","raw_affiliation_strings":["Department of Surgery, Ersta Hospital , Stockholm ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Ersta Hospital , Stockholm ,","institution_ids":["https://openalex.org/I4210103464"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029654490","display_name":"Dag Holmberg","orcid":"https://orcid.org/0000-0003-1000-5422","observed_orcids":["https://orcid.org/0000-0003-1000-5422"]},"institutions":[{"id":"https://openalex.org/I2802931750","display_name":"Flinders Medical Centre","ror":"https://ror.org/020aczd56","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2802931750"]},{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["AU","SE"],"is_corresponding":false,"raw_author_name":"Dag Holmberg","raw_affiliation_strings":["Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden , Stockholm ,","Department of Surgery, Flinders Medical Centre , Adelaide ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden , Stockholm ,","institution_ids":["https://openalex.org/I28166907"]},{"raw_affiliation_string":"Department of Surgery, Flinders Medical Centre , Adelaide ,","institution_ids":["https://openalex.org/I2802931750"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4113,"currency":"USD","value_usd":4113},"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"39","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10671","display_name":"Gastroesophageal reflux and treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10671","display_name":"Gastroesophageal reflux and treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10619","display_name":"Esophageal Cancer Research and Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/achalasia","display_name":"achalasia","score":0.9900000095367432},{"id":"https://openalex.org/keywords/peroral-endoscopic-myotomy","display_name":"peroral endoscopic myotomy","score":0.9909999966621399},{"id":"https://openalex.org/keywords/laparoscopic-heller-myotomy","display_name":"laparoscopic Heller myotomy","score":0.9580000042915344},{"id":"https://openalex.org/keywords/gastroesophageal-reflux-disease","display_name":"gastroesophageal reflux disease","score":0.8289999961853027},{"id":"https://openalex.org/keywords/reintervention","display_name":"reintervention","score":0.9319999814033508},{"id":"https://openalex.org/keywords/long-term-outcomes","display_name":"long-term outcomes","score":0.8600000143051147},{"id":"https://openalex.org/keywords/esophageal-motility-disorders","display_name":"esophageal motility disorders","score":0.7879999876022339},{"id":"https://openalex.org/keywords/antireflux-surgery","display_name":"antireflux surgery","score":0.8600000143051147},{"id":"https://openalex.org/keywords/proton-pump-inhibitors","display_name":"proton pump inhibitors","score":0.7540000081062317},{"id":"https://openalex.org/keywords/treatment-durability","display_name":"treatment durability","score":0.6949999928474426},{"id":"https://openalex.org/keywords/pneumatic-dilation","display_name":"pneumatic dilation","score":0.7070000171661377},{"id":"https://openalex.org/keywords/esophagectomy","display_name":"esophagectomy","score":0.9760000109672546},{"id":"https://openalex.org/keywords/population-based-cohort-study","display_name":"population-based cohort","score":0.5569999814033508},{"id":"https://openalex.org/keywords/non-inferiority","display_name":"non-inferiority","score":0.6510000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9710999727249146},{"id":"https://openalex.org/C2779958274","wikidata":"https://www.wikidata.org/wiki/Q661015","display_name":"Achalasia","level":3,"score":0.8873000144958496},{"id":"https://openalex.org/C2776928572","wikidata":"https://www.wikidata.org/wiki/Q1956720","display_name":"Myotomy","level":4,"score":0.7491999864578247},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6499000191688538},{"id":"https://openalex.org/C2780942740","wikidata":"https://www.wikidata.org/wiki/Q4162143","display_name":"Esophageal motility disorder","level":4,"score":0.6093000173568726},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.60589998960495},{"id":"https://openalex.org/C43270747","wikidata":"https://www.wikidata.org/wiki/Q898610","display_name":"Reflux","level":3,"score":0.6000000238418579},{"id":"https://openalex.org/C88879693","wikidata":"https://www.wikidata.org/wiki/Q217690","display_name":"Cumulative incidence","level":3,"score":0.5001999735832214},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4611000120639801},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.42309999465942383},{"id":"https://openalex.org/C2777819096","wikidata":"https://www.wikidata.org/wiki/Q173710","display_name":"Esophagus","level":2,"score":0.4228000044822693},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.4090999960899353},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4065000116825104},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.39739999175071716},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3833000063896179},{"id":"https://openalex.org/C2777297899","wikidata":"https://www.wikidata.org/wiki/Q298191","display_name":"Esophagectomy","level":4,"score":0.3813999891281128},{"id":"https://openalex.org/C2780323790","wikidata":"https://www.wikidata.org/wiki/Q2912193","display_name":"Esophageal disease","level":3,"score":0.3750999867916107},{"id":"https://openalex.org/C2781025758","wikidata":"https://www.wikidata.org/wiki/Q421704","display_name":"Proton-pump inhibitor","level":2,"score":0.36880001425743103},{"id":"https://openalex.org/C2778080469","wikidata":"https://www.wikidata.org/wiki/Q1495657","display_name":"Gastrointestinal bleeding","level":2,"score":0.35850000381469727},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.3327000141143799},{"id":"https://openalex.org/C2779949763","wikidata":"https://www.wikidata.org/wiki/Q4446828","display_name":"Esophageal pH monitoring","level":5,"score":0.32850000262260437},{"id":"https://openalex.org/C2779668873","wikidata":"https://www.wikidata.org/wiki/Q6693756","display_name":"Lower risk","level":3,"score":0.3215999901294708},{"id":"https://openalex.org/C2777365487","wikidata":"https://www.wikidata.org/wiki/Q5707414","display_name":"Heller myotomy","level":5,"score":0.3066999912261963},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.30640000104904175},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.2856999933719635},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.28529998660087585},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.2831999957561493},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.28290000557899475},{"id":"https://openalex.org/C2777014526","wikidata":"https://www.wikidata.org/wiki/Q223591","display_name":"GERD","level":4,"score":0.28130000829696655},{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.274399995803833},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.25290000438690186}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/dote/doag077.002","doi":"https://doi.org/10.1093/dote/doag077.002","is_oa":true,"landing_page_url":"https://doi.org/10.1093/dote/doag077.002","pdf_url":"https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.002/70760795/doag077.002.pdf","source":{"id":"https://openalex.org/S170171939","display_name":"Diseases of the Esophagus","issn_l":"1120-8694","issn":["1120-8694","1442-2050"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diseases of the Esophagus","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/dote/doag077.002","doi":"https://doi.org/10.1093/dote/doag077.002","is_oa":true,"landing_page_url":"https://doi.org/10.1093/dote/doag077.002","pdf_url":"https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.002/70760795/doag077.002.pdf","source":{"id":"https://openalex.org/S170171939","display_name":"Diseases of the Esophagus","issn_l":"1120-8694","issn":["1120-8694","1442-2050"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diseases of the Esophagus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203944216.pdf","grobid_xml":"https://content.openalex.org/works/W7203944216.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4412080669","https://openalex.org/W2518292607","https://openalex.org/W1732747891","https://openalex.org/W2745985663","https://openalex.org/W4416030789","https://openalex.org/W2618280855","https://openalex.org/W4392542823","https://openalex.org/W7075624434","https://openalex.org/W3011117915","https://openalex.org/W4284898355"],"abstract_inverted_index":{"Abstract":[0],"Topic":[1],"Benign":[2],"Disease:":[3],"Esophageal":[4],"Function":[5],"and":[6,54,58,84,111,174,199,215,228,272,295],"Motility":[7],"Background":[8],"Randomised":[9],"clinical":[10],"trials":[11],"have":[12,274,288],"demonstrated":[13],"non-inferiority":[14],"of":[15,28,35,52,134,223,242,252,282,292],"peroral":[16],"endoscopic":[17],"myotomy":[18,23,113],"(POEM)":[19],"to":[20,44,48,140,203,268],"laparoscopic":[21],"Heller":[22],"(LHM)":[24],"in":[25,88,99,232],"the":[26,92,97,132,145,250,280,301],"treatment":[27,277],"achalasia.":[29,283],"However,":[30,284],"there":[31],"is":[32],"a":[33,63,135,239,289],"lack":[34],"long-term":[36,50,276,305],"follow-up":[37],"data":[38],"from":[39],"population-based":[40,64],"cohorts":[41],"comparing":[42],"POEM":[43,57,76,90,192,214,235,260,271,287],"LHM.":[45,59,219,269],"We":[46],"aimed":[47],"determine":[49],"rates":[51],"reintervention":[53,106,224,243],"reflux":[55,230,254,294],"following":[56],"Methods":[60],"This":[61],"was":[62,91,105,127,225,236,256],"cohort":[65],"study":[66],"including":[67],"all":[68,100],"adults":[69],"with":[70,94,158,190,238],"achalasia":[71,196],"who":[72],"underwent":[73,213,218],"either":[74],"primary":[75,78,103,146,191],"or":[77,115,119,148,193],"LHM":[79,95,194,273],"between":[80],"1st":[81],"January":[82],"1997":[83],"31st":[85],"December":[86],"2024":[87],"Sweden.":[89],"exposure,":[93],"considered":[96],"comparison":[98],"analyses.":[101],"The":[102,124,220],"outcome":[104,126],"for":[107,163,167,195,201,279,304],"achalasia,":[108],"defined":[109,130],"as":[110,131,266],"subsequent":[112],"(peroral":[114],"transabdominal),":[116],"pneumatic":[117],"dilatation,":[118],"oesophagectomy":[120],"occurring":[121],"during":[122],"follow-up.":[123],"secondary":[125],"gastroesophageal":[128,229,253,293],"reflux,":[129],"dispensation":[133],"proton":[136],"pump":[137],"inhibitor":[138],"equivalent":[139],"36":[141],"months":[142],"use":[143],"after":[144,259],"procedure,":[147],"antireflux":[149,306],"surgery.":[150],"Multivariable":[151],"Cox":[152],"regression":[153],"provided":[154],"hazard":[155],"ratios":[156],"(HR)":[157],"95%":[159,246,263],"confidence":[160],"intervals":[161],"(CI)":[162],"both":[164],"outcomes":[165],"adjusted":[166],"age,":[168],"sex,":[169],"Charlson":[170],"comorbidity":[171],"index":[172],"score,":[173],"calendar":[175],"year.":[176],"Results":[177],"In":[178],"total,":[179],"991":[180],"patients":[181,212,285],"(median":[182,205],"age":[183],"48":[184],"years":[185],"[IQR":[186],"34-61],":[187],"58.1%":[188],"male)":[189],"were":[197],"included":[198],"followed":[200],"up":[202],"14":[204],"5.9)":[206],"years.":[207],"Of":[208],"these,":[209],"381":[210],"(38.4%)":[211],"610":[216],"(61.6%)":[217],"cumulative":[221],"incidence":[222],"18.6%":[226],"(n=184)":[227],"occurred":[231],"46.6%":[233],"(n=462).":[234],"associated":[237],"similar":[240],"risk":[241,251,291],"(HR":[244,261],"0.74,":[245],"CI":[247,264],"0.51-1.08),":[248],"but":[249],"disease":[255],"40%":[257],"increased":[258],"1.40,":[262],"1.11-1.77)":[265],"compared":[267],"Conclusion":[270],"comparable":[275],"durability":[278],"management":[281],"undergoing":[286],"higher":[290],"so":[296],"should":[297],"be":[298],"counselled":[299],"regarding":[300],"potential":[302],"need":[303],"medications.":[307]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2026-08-22T00:00:00"}