ArticleDigestive diseases and sciences2018
Achalasia Patients Are at Nutritional Risk Regardless of Presenting Weight Category.
Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Surgical approaches for achalasia and obesity: a systematic review and patient-level meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Nutrition in achalasia cardia-A neglected frontier.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Malnutrition and Sarcopenia in Gastrointestinal Motility Disorders: Mechanisms, Assessment, and Management.Current gastroenterology reports · 2026Review
- Achalasia and Esophageal Motility Disorders in the Bariatric Surgery Population: A Retrospective Descriptive Series.Obesity surgery · 2026Article
- Simultaneous surgical treatment of morbid obesity and end-stage achalasia: a case report and review of literature.Frontiers in surgery · 2026Article
- What worsens swallowing in esophageal achalasia? Insights from patient-reported outcomes.Frontiers in nutrition · 2026Article
- Safe Use of POEM in a Patient With Decompensated Cirrhosis and Severe Achalasia.ACG case reports journal · 2023Article
- Per-oral endoscopic myotomy is safe and effective for pediatric patients with achalasia: A long-term follow-up study.World journal of gastroenterology · 2023Article
- Validation of the Achalasia Patient-Reported Outcomes Questionnaire.Alimentary pharmacology & therapeutics · 2022Article
- Achalasia.Nature reviews. Disease primers · 2022Review
- Esophageal Microbiota and Nutritional Intakes in Patients With Achalasia Before and After Peroral Endoscopic Myotomy.Journal of neurogastroenterology and motility · 2022Article
- Esophageal achalasia with severe malnutrition and liver enzyme elevation.Clinical journal of gastroenterology · 2022Article
- Evaluating the impact of an enhanced triage process on the performance and diagnostic yield of oesophageal physiology studies post COVID-19.BMJ open gastroenterology · 2021Article
- Rehospitalization, Treatment, and Resource Use After Inpatient Admission for Achalasia in the USA.Digestive diseases and sciences · 2021Observational
- Changes in weight following peroral endoscopic myotomy: results from a North American center.Endoscopy international open · 2021Article
- Perception of the COVID-19 pandemic in patients with achalasia and its impact on gastrointestinal symptoms: a proof-of-concept study.Annals of gastroenterologyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAchalasia is an esophageal motor disorder that leads to swallowing dysfunction and weight loss. Nutritional risk in achalasia patients is not well defined.
aimsThe aims of this study were to define baseline body mass index (BMI), changes in weight, and nutritional risk over time in a large cohort of achalasia patients.
methodsThis was a retrospective cohort study of achalasia patients at a tertiary care center with documented BMI, symptom severity as per Eckardt score, and nutritional risk assessment as per the Malnutrition Universal Screening Tool, which considers BMI, degree of recent weight loss, and acuity of disease.
resultsAmong the 337 patients presenting for achalasia management, 179 had confirmed disease. Upon presentation 69.8% of patients were classified as overweight or obese. Using the Malnutrition Universal Screening Tool, we found 50% of patients to be at moderate or high risk for malnutrition at presentation. Eckardt score (OR 1.15, 95% CI 1.05-1.26), duration of disease (OR for each additional month 1.04, 95% CI 1.01-1.08), and female gender (OR 1.76, 95% CI 1.02-3.03) were independent predictors of increased risk for malnutrition. Nutrition risk score decreased after therapy in 93.3% of patients.
conclusionsDespite a high prevalence of overweight and obese status in achalasia patients, many are at risk of developing nutritional complications secondary to rapid weight loss. This risk frequently resolves post-treatment. Regardless of baseline BMI, we recommend all patients undergo nutritional assessment to identify high-risk patients who may benefit from dietary intervention and expedited therapy.
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