{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:23:53Z","timestamp":1778891033720,"version":"3.51.4"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2021,6]]},"DOI":"10.1007\/s00464-020-07737-8","type":"journal-article","created":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T14:04:00Z","timestamp":1592489040000},"page":"2965-2975","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Peroral endoscopic myotomy is highly effective for achalasia patients with recurrent symptoms after pneumatic dilatation"],"prefix":"10.1007","volume":"35","author":[{"given":"Madhusudhan R.","family":"Sanaka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Khoudari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malav","family":"Parikh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashanthi N.","family":"Thota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocio","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niyati","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Gabbard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Ray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudish","family":"Murthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siva","family":"Raja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,6,18]]},"reference":[{"key":"7737_CR1","doi-asserted-by":"publisher","first-page":"1404","DOI":"10.1111\/j.1572-0241.2005.41775.x","volume":"100","author":"W Park","year":"2005","unstructured":"Park W, Vaezi MF (2005) Etiology and pathogenesis of achalasia: the current understanding. Am J Gastroenterol 100:1404. https:\/\/doi.org\/10.1111\/j.1572-0241.2005.41775.x","journal-title":"Am J Gastroenterol"},{"issue":"2","key":"7737_CR2","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/S1052-5157(18)30078-3","volume":"11","author":"VM Pi\u00f1eiro-Carrero","year":"2001","unstructured":"Pi\u00f1eiro-Carrero VM, Sullivan CA, Rogers PL (2001) Etiology and treatment of achalasia in the pediatric age group. Gastrointest Endosc Clin N Am 11(2):387\u2013408","journal-title":"Gastrointest Endosc Clin N Am"},{"issue":"2","key":"7737_CR3","doi-asserted-by":"publisher","first-page":"70","DOI":"10.14740\/gr723w","volume":"10","author":"V Wadhwa","year":"2017","unstructured":"Wadhwa V, Thota PN, Parikh MP, Lopez R, Sanaka MR (2017) Changing trends in age, gender, racial distribution and inpatient burden of achalasia. Gastroenterol Res 10(2):70\u201377. https:\/\/doi.org\/10.14740\/gr723w","journal-title":"Gastroenterol Res"},{"issue":"4","key":"7737_CR4","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1055\/s-0029-1244080","volume":"42","author":"H Inoue","year":"2010","unstructured":"Inoue H, Minami H, Kobayashi Y et al (2010) Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 42(4):265\u2013271. https:\/\/doi.org\/10.1055\/s-0029-1244080","journal-title":"Endoscopy"},{"issue":"4","key":"7737_CR5","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1016\/j.surg.2009.06.049","volume":"146","author":"A Kilic","year":"2009","unstructured":"Kilic A, Schuchert MJ, Pennathur A, Gilbert S, Landreneau RJ, Luketich JD (2009) Long-term outcomes of laparoscopic Heller myotomy for achalasia. Surgery. 146(4):826\u2013831. https:\/\/doi.org\/10.1016\/j.surg.2009.06.049discussion 831\u2013833","journal-title":"Surgery."},{"issue":"2","key":"7737_CR6","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/s00455-007-9115-2","volume":"23","author":"MH Emami","year":"2008","unstructured":"Emami MH, Raisi M, Amini J et al (2008) Pneumatic balloon dilation therapy is as effective as esophagomyotomy for achalasia. Dysphagia 23(2):155\u2013160. https:\/\/doi.org\/10.1007\/s00455-007-9115-2","journal-title":"Dysphagia"},{"issue":"9","key":"7737_CR7","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1055\/s-2007-966764","volume":"39","author":"PJ Pasricha","year":"2007","unstructured":"Pasricha PJ, Hawari R, Ahmed I et al (2007) Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia. Endoscopy 39(9):761\u2013764. https:\/\/doi.org\/10.1055\/s-2007-966764","journal-title":"Endoscopy"},{"issue":"4","key":"7737_CR8","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1097\/MOG.0b013e328362292a","volume":"29","author":"Z Ramzan","year":"2013","unstructured":"Ramzan Z, Nassri AB (2013) The role of Botulinum toxin injection in the management of achalasia. Curr Opin Gastroenterol 29(4):468\u2013473. https:\/\/doi.org\/10.1097\/MOG.0b013e328362292a","journal-title":"Curr Opin Gastroenterol"},{"key":"7737_CR9","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1056\/NEJMoa1010502","volume":"364","author":"G Boeckxstaens","year":"2011","unstructured":"Boeckxstaens G, Annese V, Des VS et al (2011) European Achalasia Trial I (2011) Pneumatic dilation versus laparoscopic Heller\u2019s myotomy for idiopathic achalasia. N Engl J Med 364:1807\u20131816","journal-title":"N Engl J Med"},{"issue":"8","key":"7737_CR10","doi-asserted-by":"publisher","first-page":"1609","DOI":"10.1111\/jgh.12570","volume":"29","author":"T Ling","year":"2014","unstructured":"Ling T, Guo H, Zou X (2014) Effect of peroral endoscopic myotomy in achalasia patients with failure of prior pneumatic dilation: a prospective case-control study. J Gastroenterol Hepatol 29(8):1609\u20131613. https:\/\/doi.org\/10.1111\/jgh.12570","journal-title":"J Gastroenterol Hepatol"},{"issue":"7","key":"7737_CR11","doi-asserted-by":"publisher","first-page":"1076","DOI":"10.1038\/ajg.2013.32","volume":"108","author":"V Kumbhari","year":"2013","unstructured":"Kumbhari V, Behary J, Szczesniak M, Zhang T, Cook IJ (2013) Efficacy and safety of pneumatic dilatation for achalasia in the treatment of post-myotomy symptom relapse. Am J Gastroenterol 108(7):1076\u20131081. https:\/\/doi.org\/10.1038\/ajg.2013.32","journal-title":"Am J Gastroenterol"},{"issue":"1","key":"7737_CR12","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1111\/dote.12064","volume":"27","author":"AA Borges","year":"2014","unstructured":"Borges AA, de Lemme EM, Abrahao LJ et al (2014) Pneumatic dilation versus laparoscopic Heller myotomy for the treatment of achalasia: variables related to a good response. Dis Esophagus 27(1):18\u201323. https:\/\/doi.org\/10.1111\/dote.12064","journal-title":"Dis Esophagus"},{"issue":"3","key":"7737_CR13","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1097\/01.sla.0000114228.34809.01","volume":"239","author":"I Gockel","year":"2004","unstructured":"Gockel I, Junginger T, Bernhard G, Eckardt VF (2004) Heller myotomy for failed pneumatic dilation in achalasia: how effective is it? Ann Surg 239(3):371\u2013377. https:\/\/doi.org\/10.1097\/01.sla.0000114228.34809.01","journal-title":"Ann Surg"},{"issue":"12","key":"7737_CR14","doi-asserted-by":"publisher","first-page":"1817","DOI":"10.1038\/ajg.2012.332","volume":"107","author":"KL Lynch","year":"2012","unstructured":"Lynch KL, Pandolfino JE, Howden CW, Kahrilas PJ (2012) Major complications of pneumatic dilation and heller myotomy for Achalasia: single-center experience and systematic review of the literature. Am J Gastroenterol 107(12):1817\u20131825. https:\/\/doi.org\/10.1038\/ajg.2012.332","journal-title":"Am J Gastroenterol"},{"key":"7737_CR15","doi-asserted-by":"publisher","DOI":"10.1007\/s11938-019-00217-6","author":"MP Parikh","year":"2019","unstructured":"Parikh MP, Gupta NM, Sanaka MR (2019) Esophageal third space endoscopy: recent advances. Curr Treat Opt Gastroenterol. https:\/\/doi.org\/10.1007\/s11938-019-00217-6","journal-title":"Curr Treat Opt Gastroenterol"},{"key":"7737_CR16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.11.132","author":"S Raja","year":"2018","unstructured":"Raja S, Murthy SC, Tang A et al (2018) Per Oral Endoscopic Myotomy (POEM): another tool in the toolbox. J Thorac Cardiovasc Surg. https:\/\/doi.org\/10.1016\/j.jtcvs.2018.11.132","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"7737_CR17","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1038\/ajg.2011.388","volume":"107","author":"D von Renteln","year":"2012","unstructured":"von Renteln D, Inoue H, Minami H et al (2012) Peroral endoscopic myotomy for the treatment of achalasia: a prospective single center study. Am J Gastroenterol 107(3):411\u2013417. https:\/\/doi.org\/10.1038\/ajg.2011.388","journal-title":"Am J Gastroenterol"},{"issue":"10","key":"7737_CR18","doi-asserted-by":"publisher","first-page":"1531","DOI":"10.1016\/j.cgh.2017.01.031","volume":"15","author":"S Ngamruengphong","year":"2017","unstructured":"Ngamruengphong S, Inoue H, Ujiki MB et al (2017) Efficacy and safety of peroral endoscopic myotomy for treatment of achalasia after failed heller myotomy. Clin Gastroenterol Hepatol 15(10):1531\u20131537.e3. https:\/\/doi.org\/10.1016\/j.cgh.2017.01.031","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"8","key":"7737_CR19","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1055\/s-0043-113440","volume":"49","author":"QN Wu","year":"2017","unstructured":"Wu QN, Xu XY, Zhang XC et al (2017) Submucosal fibrosis in Achalasia patients is a rare cause of aborted peroral endoscopic myotomy procedures. Endoscopy 49(8):736\u2013744. https:\/\/doi.org\/10.1055\/s-0043-113440","journal-title":"Endoscopy"},{"issue":"1","key":"7737_CR20","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.gie.2019.07.036","volume":"91","author":"X-Y Liu","year":"2020","unstructured":"Liu X-Y, Cheng J, Chen W-F et al (2020) A risk-scoring system to predict clinical failure for patients with achalasia after peroral endoscopic myotomy. Gastrointest Endosc 91(1):33\u201340.e1. https:\/\/doi.org\/10.1016\/j.gie.2019.07.036","journal-title":"Gastrointest Endosc"},{"issue":"3","key":"7737_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/dote.12457","volume":"30","author":"X Tang","year":"2017","unstructured":"Tang X, Gong W, Deng Z et al (2017) Feasibility and safety of peroral endoscopic myotomy for achalasia after failed endoscopic interventions. Dis Esophagus 30(3):1\u20136. https:\/\/doi.org\/10.1111\/dote.12457","journal-title":"Dis Esophagus"},{"issue":"4","key":"7737_CR22","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1055\/s-0043-121632","volume":"50","author":"Z Nabi","year":"2018","unstructured":"Nabi Z, Ramchandani M, Chavan R et al (2018) Peroral endoscopic myotomy in treatment-na\u00efve achalasia patients versus prior treatment failure cases. Endoscopy 50(4):358\u2013370. https:\/\/doi.org\/10.1055\/s-0043-121632","journal-title":"Endoscopy"},{"issue":"4","key":"7737_CR23","doi-asserted-by":"publisher","first-page":"1282","DOI":"10.1007\/s00464-015-4339-y","volume":"30","author":"EL Jones","year":"2016","unstructured":"Jones EL, Meara MP, Pittman MR, Hazey JW, Perry KA (2016) Prior treatment does not influence the performance or early outcome of per-oral endoscopic myotomy for achalasia. Surg Endosc 30(4):1282\u20131286. https:\/\/doi.org\/10.1007\/s00464-015-4339-y","journal-title":"Surg Endosc"},{"issue":"5","key":"7737_CR24","doi-asserted-by":"publisher","first-page":"1064","DOI":"10.1007\/s00464-014-3782-5","volume":"29","author":"SB Orenstein","year":"2015","unstructured":"Orenstein SB, Raigani S, Wu YV et al (2015) Peroral endoscopic myotomy (POEM) leads to similar results in patients with and without prior endoscopic or surgical therapy. Surg Endosc 29(5):1064\u20131070. https:\/\/doi.org\/10.1007\/s00464-014-3782-5","journal-title":"Surg Endosc"},{"issue":"7","key":"7737_CR25","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.1007\/s11605-013-2193-6","volume":"17","author":"A Sharata","year":"2013","unstructured":"Sharata A, Kurian AA, Dunst CM, Bhayani NH, Reavis KM, Swanstr\u00f6m LL (2013) Peroral endoscopic myotomy (POEM) is safe and effective in the setting of prior endoscopic intervention. J Gastrointest Surg 17(7):1188\u20131192. https:\/\/doi.org\/10.1007\/s11605-013-2193-6","journal-title":"J Gastrointest Surg"},{"issue":"2","key":"7737_CR26","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1111\/nmo.12477","volume":"27","author":"PJ Kahrilas","year":"2015","unstructured":"Kahrilas PJ, Bredenoord AJ, Fox M et al (2015) The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 27(2):160\u2013174. https:\/\/doi.org\/10.1111\/nmo.12477","journal-title":"Neurogastroenterol Motil."},{"issue":"10","key":"7737_CR27","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1097\/00004836-200411000-00004","volume":"38","author":"JM Guardino","year":"2019","unstructured":"Guardino JM, Vela MF, Connor JT, Richter JE (2019) Pneumatic dilation for the treatment of achalasia in untreated patients and patients with failed Heller myotomy. J Clin Gastroenterol 38(10):855\u2013860","journal-title":"J Clin Gastroenterol"},{"key":"7737_CR28","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6522-4","author":"MR Sanaka","year":"2018","unstructured":"Sanaka MR, Thota PN, Parikh MP et al (2018) Peroral endoscopic myotomy leads to higher rates of abnormal esophageal acid exposure than laparoscopic Heller myotomy in achalasia. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-018-6522-4","journal-title":"Surg Endosc"},{"issue":"07","key":"7737_CR29","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1055\/s-0043-105485","volume":"49","author":"V Kumbhari","year":"2017","unstructured":"Kumbhari V, Familiari P, Bjerregaard N et al (2017) Gastroesophageal reflux after peroral endoscopic myotomy: a multicenter case\u2013control study. Endoscopy 49(07):634\u2013642. https:\/\/doi.org\/10.1055\/s-0043-105485","journal-title":"Endoscopy"},{"issue":"4","key":"7737_CR30","doi-asserted-by":"publisher","first-page":"934","DOI":"10.1016\/j.gie.2017.10.022","volume":"87","author":"A Repici","year":"2018","unstructured":"Repici A, Fuccio L, Maselli R et al (2018) GERD after per-oral endoscopic myotomy as compared with Heller\u2019s myotomy with fundoplication: a systematic review with meta-analysis. Gastrointest Endosc 87(4):934\u2013943.e18. https:\/\/doi.org\/10.1016\/j.gie.2017.10.022","journal-title":"Gastrointest Endosc"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-020-07737-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-020-07737-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-020-07737-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T23:35:20Z","timestamp":1623972920000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-020-07737-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,18]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["7737"],"URL":"https:\/\/doi.org\/10.1007\/s00464-020-07737-8","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,18]]},"assertion":[{"value":"15 March 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 June 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Dr. Sanaka, Dr. Khoudari, Dr. Parikh, Dr. Thota, Ms. Lopez, Dr. Gupta, Dr. Gabbard, Dr. Ray, Dr. Murthy, and Dr. Raja have no conflicts of interest and nothing to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}}]}}