Retrospective Study
Copyright ©The Author(s) 2023.
World J Gastroenterol. Apr 21, 2023; 29(15): 2349-2358
Published online Apr 21, 2023. doi: 10.3748/wjg.v29.i15.2349
Table 2 Operation information and treatment outcomes of patients with recurrent achalasia after initial peroral endoscopic myotomy

Re-POEM (n = 9)
Re-POEM-SSMD (n = 7)
P value
Operation parameters
  Operative time, mean ± SD, min39.22 ± 15.1947.86 ± 9.710.414
  Submucosal tunnel length, median (range), cm9 (7-13)5 (4-12)0.012
  Myotomy length, median (range), cm6 (4.5-11)6 (4-11)1.000
  Postoperative hospital stay, mean ± SD, d6.0 ± 1.77.1 ± 1.30.454
Adverse events, n
  Mucosal injury01
  Subcutaneous emphysema00
  Pneumothorax00
  Pneumoperitoneum20
  Tunnel infection00
Clinical success during follow-up, n (%)8 (88.9)6 (85.7)0.849
Eckardt score, median (range)
  Pre-POEM6 (2-8)5 (2-8)0.892
  Preretreatment4 (3–8)5 (2-8)0.425
  Postretreatment1 (0-5)2 (0-4)0.416
Lower esophageal sphincter pressure, mean ± SD, mmHg
  Preretreatment23.78 ± 9.0426.80 ± 7.480.489
  Postretreatment11.45 ± 5.3711.05 ± 4.380.872
Reflux complications
  Symptomatic reflux, n (%)6 (66.7)0 (0)0.001
  R, n (%)6 (66.7)3 (42.9)0.100