Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 7, 2024; 30(21): 2740-2743
Published online Jun 7, 2024. doi: 10.3748/wjg.v30.i21.2740
Navigating reflux disease after achalasia treatments: Balancing risks and benefits
Ewen A Griffiths, Enoch Wong
Ewen A Griffiths, Enoch Wong, Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, West Midlands, United Kingdom
Ewen A Griffiths, Department of Immunology and Immunotherapy, University of Birmingham, Birmingham B15 2TT, West Midlands, United Kingdom
Author contributions: Wong E and Griffiths EA both were involved in the planning, writing and editing of this editorial.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ewen A Griffiths, FRCS (Gen Surg), MD, Professor, Surgeon, Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Birmingham B15 2GW, West Midlands, United Kingdom. ewen.griffiths@uhb.nhs.uk
Received: February 24, 2024
Revised: April 29, 2024
Accepted: May 16, 2024
Published online: June 7, 2024
Processing time: 99 Days and 15.7 Hours
Core Tip

Core Tip: Risk factors for post peroral endoscopic myotomy (POEM) gastroesophageal reflux disease highlighted in the review are a higher body mass index > 35 kg/m2, the presence of hiatal hernia, a low integrated relaxation pressure post-POEM, pre-POEM lower esophageal sphincter (LES) pressures below 45 mmHg, low post-POEM LES pressure, and female gender. The achalasia community should perhaps consider whether these patients might be better suited to a laparoscopic Heller’s cardiomyotomy and partial fundoplication rather than a POEM.