GuidelineSurgical endoscopy2021
SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia.
Guideline in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Long-term outcomes of peroral endoscopic myotomy for achalasia: a systematic review and meta-analysis with median follow-up ≥ 5 years.Surgical endoscopy · 2026Pooled it
- Impact of myotomy length on per-oral endoscopic myotomy (POEM) outcomes for achalasia: a meta-analysis of randomized trials.Surgical endoscopy · 2025Pooled it
- 2024 Update to SAGES guidelines for the use of peroral endoscopic myotomy (POEM) in the treatment of achalasia.Surgical endoscopy · 2025Guideline
- Is peroral endoscopic myotomy (POEM) more effective than pneumatic dilation and Heller myotomy? A systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Achalasia in Geriatric Patients: A Comprehensive Overview.Digestive diseases and sciences · 2026Review
- Modern treatment for achalasia: endoscopic and surgical therapies.The British journal of surgery · 2026Review
- Trends in management and healthcare resource utilization for achalasia following adoption of per-oral endoscopic myotomy.Surgical endoscopy · 2026Article
- Presence of type 1 hiatal hernia affects the clinical efficacy of per-oral endoscopic myotomy.Surgical endoscopy · 2025Article
- Peroral endoscopic myotomy in children with achalasia: A review of the literature.World journal of gastrointestinal endoscopy · 2025Review
- Surgical management of achalasia.Abdominal radiology (New York) · 2025Review
- The SAGES MASTERS Program: top 10 seminal articles for Heller myotomy and treatment of achalasia.Surgical endoscopy · 2025Review
- The dissemination of surgical clinical practice guidelines-evaluating SAGES' strategies for distribution.Surgical endoscopy · 2025Article
- "You gotta lift to get ripped": injection lift myotomy.Endoscopy · 2024Article
- Comparison of laparoscopic Heller myotomy and endoscopic balloon dilation in the treatment of achalasia: Effects on quality of life and patient satisfaction.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Review
- Esophageal Per-Oral Endoscopic Myotomy (E-POEM): Future Directions and Perspectives.Current gastroenterology reports · 2024Review
- Elevated preoperative lower esophageal sphincter pressure predicts improved clinical outcomes after per oral endoscopic myotomy (POEM).Surgical endoscopy · 2024Article
- Article
- Achalasia and Hiatal Hernia: A Rare Association and a Therapeutic Challenge.Journal of neurogastroenterology and motility · 2023Article
- The Results of Pneumatic Balloon Dilatation Treatment in Children with Achalasia: A Single-Center Experience.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 12 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeroral endoscopic myotomy (POEM) is increasingly used as primary treatment for esophageal achalasia, in place of the options such as Heller myotomy (HM) and pneumatic dilatation (PD)
objectiveThese evidence-based guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) intend to support clinicians, patients and others in decisions about the use of POEM for treatment of achalasia.
resultsThe panel agreed on 4 recommendations for adults and children with achalasia.
conclusionsStrong recommendation for the use of POEM over PD was issued unless the concern of continued postoperative PPI use remains a key decision-making concern to the patient. Conditional recommendations included the option of using either POEM or HM with fundoplication to treat achalasia, and favored POEM over HM for achalasia subtype III.
Indexed as
Identifiers
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.