Evidence map›Paper›PMID 39840006›Full record

ArticleDEN open2025

Efficacy of peroral endoscopic myotomy for improving sleep problems in patients with achalasia.

Toshihiro Ohmiya, Hironari Shiwaku, Hiroki Okada, Akio Shiwaku, Suguru Hasegawa

Abstract read
In one paragraph

Article in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Toshihiro OhmiyaDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka Japan.ORCID https://orcid.org/0009-0007-5907-7749
Hironari ShiwakuDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka Japan.ORCID https://orcid.org/0000-0002-8435-3668
Hiroki OkadaDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka Japan.
Akio ShiwakuDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka Japan.
Suguru HasegawaDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Achalasia is an esophageal motility disorder of unknown etiology. However, no studies have determined the populations in which sleep problems occur and whether they are improved by peroral endoscopic myotomy (POEM). We investigated the rate of sleep problems assessed by GERD-Q (AGQ) in achalasia patients, evaluated whether POEM improves these issues, and identified factors associated with sleep improvement after POEM. Methods: We retrospectively analyzed the data of patients who were diagnosed with achalasia and who underwent POEM at a single institution between March 2016 and December 2020. We examined the Eckardt symptom score and the GERD-Q before and 3 months after POEM to assess the presence of sleep problems (AGQ) and other symptoms. The univariate logistic regression analysis was performed to identify factors associated with sleep problem (AGQ) improvement after POEM. Results: A total of 177 patients were included. The average age was 52.6 ± 17.2 years. Preoperatively, dysphagia (172 [97.2%]), regurgitation (123 [69.5%]), sleep problems (AGQ; 110 [62.1%]), chest pain (102 [57.6%]), and weight loss (83 [46.9%]) were observed. Before POEM, 62.1% of patients experienced sleep problems (AGQ) compared with 9.6% after POEM ( Conclusions: Sleep problems (AGQ) were the third most common symptom in > 60% of patients with achalasia. Improving dysphagia and regurgitation using the POEM procedure improved sleep problems (AGQ).

Indexed as

achalasiagastroesophageal reflux diseaseperoral endoscopic myotomyquality of lifesleep problem

Identifiers

PMID39840006
PMCPMC11746064

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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.