GuidelineThe American journal of gastroenterology2020
ACG Clinical Guidelines: Diagnosis and Management of Achalasia.
Guideline in The American journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06588348 (Corticosteroid Effect on Achalasia Variant Esophagogastric Junction Outflow Obstruction), which is not on this map. Cited by 209 papers, 6 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.
Corticosteroid Effect on Achalasia Variant Esophagogastric Junction Outflow Obstruction
Who cites it
209 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Dietary management and feeding considerations of pediatric aerodigestive and upper gastrointestinal motility disorders.Journal of pediatric gastroenterology and nutrition · 2026Guideline
- Short versus standard esophageal myotomy during peroral endoscopic myotomy for achalasia: A systematic review and meta-analysis of randomized controlled trials.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Pooled it
- Comprehensive evaluation of current strategies in achalasia treatment: Insights from an umbrella review.Medicine · 2025Pooled it
- Impact of myotomy length on per-oral endoscopic myotomy (POEM) outcomes for achalasia: a meta-analysis of randomized trials.Surgical endoscopy · 2025Pooled it
- Medical management of painful achalasia: a patient-driven systematic review.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024Pooled it
- Clinical characteristics and manometric findings of esophageal achalasia-a systematic review regarding differences among three subtypes.Journal of smooth muscle research = Nihon Heikatsukin Gakkai kikanshi · 2023Pooled it
- Single-Versus Multiple-Dose Antimicrobial Prophylaxis in Peroral Endoscopic Myotomy: A Randomized Controlled Study (SMAPP Trial).Dysphagia · 2023Trial
- Review
- Predictive value of preoperative esophagram in postoperative outcomes after antireflux surgery.Surgical endoscopy · 2026Article
- Achieving physiologic distensibility targets frequently requires modification of standard cruroplasty during anti-reflux surgery.Surgical endoscopy · 2026Article
- Intestinal Metaplasia of the Distal Esophagus in a Patient With Untreated Achalasia-An Unusual Case and Review of Literature.Clinical case reports · 2026Article
- Anterior versus posterior peroral endoscopic myotomy: a prospective randomized controlled trial from a Thai tertiary center.Clinical endoscopy · 2026Article
- Prophylactic antibiotics after peroral endoscopic myotomy may not significantly reduce postprocedural fever or infection: a propensity score matching analysis.Surgical endoscopy · 2026Article
- Bifurcate peroral endoscopic myotomy for the treatment of achalasia with large epiphrenic esophageal diverticulum (with video).Surgical endoscopy · 2026Article
- Article
- [Endoscopic Treatment of Esophageal Motility Disorders in the Era of POEM: Current Perspectives and Future Directions].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2026Review
- Symptom duration is associated with esophageal remodeling in achalasia treated by peroral endoscopic myotomy.Scientific reports · 2026Observational
- Anatomy-driven dysphagia after technically successful peroral endoscopic myotomy in sigmoid-shape achalasia: short-term palliation with temporary fully covered self-expanding metal stents.Clinical endoscopy · 2026Article
- Short versus long myotomy during peroral endoscopic myotomy for achalasia: a systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2026Article
- Article
149 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Achalasia is an esophageal motility disorder characterized by aberrant peristalsis and insufficient relaxation of the lower esophageal sphincter. Patients most commonly present with dysphagia to solids and liquids, regurgitation, and occasional chest pain with or without weight loss. High-resolution manometry has identified 3 subtypes of achalasia distinguished by pressurization and contraction patterns. Endoscopic findings of retained saliva with puckering of the gastroesophageal junction or esophagram findings of a dilated esophagus with bird beaking are important diagnostic clues. In this American College of Gastroenterology guideline, we used the Grading of Recommendations Assessment, Development and Evaluation process to provide clinical guidance on how best to diagnose and treat patients with achalasia.
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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.