ReviewWorld journal of gastroenterology2008
Recurrent achalasia treated with Heller myotomy: a review of the literature.
Review in World journal of gastroenterology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Redo Heller myotomy vs. POEM after failed Heller myotomy: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Efficacy and Safety of Peroral Endoscopic Myotomy in Achalasia Patients with Failed Previous Intervention: A Systematic Review and Meta-Analysis.Gut and liver · 2021Pooled it
- Timed barium esophagography to predict recurrent achalasia after peroral endoscopic myotomy: a retrospective study in Thailand.Clinical endoscopy · 2024Article
- Over ten-year outcomes of laparoscopic Heller-myotomy with Dor-fundoplication with achalasia: single-center experience with annual endoscopic surveillance.Surgical endoscopy · 2021Article
- Gas Leak and Mucosal Injury During Endoscopic Esophageal Myotomy After Previous Myotomy: A Single-Center Experience.Clinical and experimental gastroenterology · 2021Article
- Efficacy and safety of peroral endoscopic myotomy in the management of recurrent achalasia after failed Heller myotomy: a systematic review and meta-analysis.Annals of gastroenterology · 2021Article
- Esophageal POEM: the new standard of care.Translational gastroenterology and hepatology · 2020Review
- Heller myotomy versus endoscopic balloon dilatation for achalasia: A single center experience.Medicine · 2019Article
- POEM in the Treatment of Esophageal Disorders.Current treatment options in gastroenterology · 2018Review
- The evaluation of functional results before and after laparoscopic Heller myotomy for achalasia: a single center experience.Gastroenterology and hepatology from bed to bench · 2017Article
- Revisional surgery after failed esophagogastric myotomy for achalasia: successful esophageal preservation.Surgical endoscopy · 2016Article
- Repeated Surgical or Endoscopic Myotomy for Recurrent Dysphagia in Patients After Previous Myotomy for Achalasia.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Article
- Submucosal tunnel endoscopy: Peroral endoscopic myotomy and peroral endoscopic tumor resection.World journal of gastrointestinal endoscopy · 2016Review
- The early efficacy of Heller myotomy in the treatment of Iranian patients with achalasia.Gastroenterology and hepatology from bed to bench · 2016Article
- Recurrent symptoms after Heller myotomy for achalasia: evaluation and treatment.World journal of surgery · 2015Article
- Peroral endoscopic myotomy (POEM) leads to similar results in patients with and without prior endoscopic or surgical therapy.Surgical endoscopy · 2015Article
- Self-expandable metal stents for achalasia: Thinking out of the box!World journal of gastrointestinal endoscopy · 2015Review
- Peroral endoscopic myotomy is expanding its indications: (j am coll surg 2013;217:598-605).Journal of neurogastroenterology and motility · 2014Article
- Transesophageal endoscopic myotomy for achalasia: recognizing potential pitfalls before clinical application.Surgical endoscopy · 2012Article
- Surgical treatment for achalasia: when should it be performed, and for which patients?General thoracic and cardiovascular surgery · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo evaluate the efficacy and safety of Heller myotomy (HM) for recurrent achlasia, performed after different methods of first-line treatment.
methodsWe searched for studies published in PubMed from 1966 to March 2008 on treatment of recurrent achalasia with HM after failure with different methods of first-line treatment. The efficacy of HM was assessed by a pooled estimate of response rate with individual studies weighted proportionally to sample size.
resultsSixteen studies were eligible and included in the review. The results showed that HM has a better remission rate for recurrent achalasia after failure of HM [weighted mean (SD)] of 86.9% (21.8%) compared with 81.6% (23.8%) for pneumatic dilatation (PD). One study evaluated the efficacy of HM after failure of PD combined with botulinum toxin injection (83%). The most common complications were perforation and gastroesophageal reflux.
conclusionHM has the best efficacy in patients with recurrent achlasia who were treated with HM as first-line treatment. Future studies should focus on how to increase the success rate and decrease the complications of HM.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.