ArticleUnited European gastroenterology journal2019
The treatment of achalasia patients with esophageal varices: an international study.
Article in United European gastroenterology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- When Two Roads Intersect: Coexisting Achalasia Cardia and Oesophageal Varices as a Therapeutic Dilemma.Cureus · 2025Article
- Peroral endoscopic myotomy for achalasia combined with esophageal varices.Clinical endoscopy · 2025Article
- Peroral endoscopic myotomy in the presence of small esophageal varices.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024Article
- Ultrarapid Development of Ruptured Esophageal Varices in a Patient With a History of Heller Myotomy.Cureus · 2024Article
- Article
- Safe Use of POEM in a Patient With Decompensated Cirrhosis and Severe Achalasia.ACG case reports journal · 2023Article
- Evaluating the Non-conventional Achalasia Treatment Modalities.Frontiers in medicine · 2022Review
- How to raise the interest for neurogastroenterology among young gastroenterologists?United European gastroenterology journal · 2021Article
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Treatment options for achalasia include endoscopic and surgical techniques that carry the risk of esophageal bleeding and perforation. The rare coexistence of esophageal varices has only been anecdotally described and treatment is presumed to carry additional risk. Methods: Experience from physicians/surgeons treating this rare combination of disorders was sought through the International Manometry Working Group. Results: Fourteen patients with achalasia and varices from seven international centers were collected (mean age 61 ± 9 years). Five patients were treated with botulinum toxin injections (BTI), four had dilation, three received peroral endoscopic myotomy (POEM), one had POEM then dilation, and one patient underwent BTI followed by Heller's myotomy. Variceal eradication preceded achalasia treatment in three patients. All patients experienced a significant symptomatic improvement (median Eckardt score 7 vs 1; Conclusion: This study shows an excellent short-term symptomatic response in patients with esophageal achalasia and varices and demonstrates that the therapeutic outcomes and complications, other than transient encephalopathy in both patients who had a portosystemic shunt, did not differ to disease-matched patients without varices.
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Registered trials
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