{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:04:51Z","timestamp":1785369891054,"version":"3.55.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1007\/s00464-025-12215-0","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T16:57:55Z","timestamp":1758301075000},"page":"7772-7777","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Presence of type 1 hiatal hernia affects the clinical efficacy of per-oral endoscopic myotomy"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1694-7894","authenticated-orcid":false,"given":"Matthew F.","family":"Mikulski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary R.","family":"Stickney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia S.","family":"Rizzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Desilets","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Romanelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"12215_CR1","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1097\/00000478-199404000-00001","volume":"18","author":"JR Goldblum","year":"1994","unstructured":"Goldblum JR, Whyte RI, Orringer MB, Appelman HD (1994) Achalasia. A morphologic study of 42 resected specimens. Am J Surg Pathol 18:327\u2013337","journal-title":"Am J Surg Pathol"},{"key":"12215_CR2","doi-asserted-by":"publisher","first-page":"1841","DOI":"10.1001\/jama.2015.2996","volume":"313","author":"JE Pandolfino","year":"2015","unstructured":"Pandolfino JE, Gawron AJ (2015) Achalasia: a systematic review. JAMA 313:1841. https:\/\/doi.org\/10.1001\/jama.2015.2996","journal-title":"JAMA"},{"issue":"2","key":"12215_CR3","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, Gyawali CP, Roman S, Smout AJPM, Pandolfino JE, International High Resolution Manometry Working Group (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"},{"key":"12215_CR4","doi-asserted-by":"publisher","first-page":"e14058","DOI":"10.1111\/nmo.14058","volume":"33","author":"R Yadlapati","year":"2021","unstructured":"Yadlapati R, Kahrilas PJ, Fox MR, Bredenoord AJ, Prakash Gyawali C, Roman S, Babaei A, Mittal RK, Rommel N, Savarino E, Sifrim D, Smout A, Vaezi MF, Zerbib F, Akiyama J, Bhatia S, Bor S, Carlson DA, Chen JW, Cisternas D, Cock C, Coss-Adame E, de Bortoli N, Defilippi C, Fass R, Ghoshal UC, Gonlachanvit S, Hani A, Hebbard GS, Wook Jung K, Katz P, Katzka DA, Khan A, Kohn GP, Lazarescu A, Lengliner J, Mittal SK, Omari T, Park MI, Penagini R, Pohl D, Richter JE, Serra J, Sweis R, Tack J, Tatum RP, Tutuian R, Vela MF, Wong RK, Wu JC, Xiao Y, Pandolfino JE (2021) Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0\u00a9. Neurogastroenterol Motil Off J Eur Gastrointest Motil Soc 33:e14058. https:\/\/doi.org\/10.1111\/nmo.14058","journal-title":"Neurogastroenterol Motil Off J Eur Gastrointest Motil Soc"},{"key":"12215_CR5","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1177\/2050640615581732","volume":"3","author":"LA Barbieri","year":"2015","unstructured":"Barbieri LA, Hassan C, Rosati R, Romario UF, Correale L, Repici A (2015) Systematic review and meta-analysis: efficacy and safety of POEM for achalasia. United Eur Gastroenterol J 3:325\u2013334. https:\/\/doi.org\/10.1177\/2050640615581732","journal-title":"United Eur Gastroenterol J"},{"key":"12215_CR6","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1089\/lap.2017.0588","volume":"28","author":"ED Kane","year":"2018","unstructured":"Kane ED, Desilets DJ, Wilson D, Leduc M, Budhraja V, Romanelli JR (2018) Treatment of achalasia with per-oral endoscopic myotomy: analysis of 50 consecutive patients. J Laparoendosc Adv Surg Tech A 28:514\u2013525. https:\/\/doi.org\/10.1089\/lap.2017.0588","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"12215_CR7","doi-asserted-by":"publisher","first-page":"E195","DOI":"10.1055\/s-0034-1391668","volume":"3","author":"V Kumbhari","year":"2015","unstructured":"Kumbhari V, Tieu AH, Onimaru M, Zein MHE, Teitelbaum EN, Ujiki MB, Gitelis ME, Modayil RJ, Hungness ES, Stavropoulos SN, Shiwaku H, Kunda R, Chiu P, Saxena P, Messallam AA, Inoue H, Khashab MA (2015) Peroral endoscopic myotomy (POEM) vs laparoscopic Heller myotomy (LHM) for the treatment of Type III achalasia in 75 patients: a multicenter comparative study. Endosc Int Open 3:E195\u2013E201. https:\/\/doi.org\/10.1055\/s-0034-1391668","journal-title":"Endosc Int Open"},{"key":"12215_CR8","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1016\/j.gie.2019.05.046","volume":"90","author":"CH Park","year":"2019","unstructured":"Park CH, Jung DH, Kim DH, Lim C-H, Moon HS, Park JH, Jung H-K, Hong SJ, Choi SC, Lee OY, Achalasia Research Group of the Korean Society of Neurogastroenterology and Motility (2019) Comparative efficacy of per-oral endoscopic myotomy and Heller myotomy in patients with achalasia: a meta-analysis. Gastrointest Endosc 90:546-558.e3. https:\/\/doi.org\/10.1016\/j.gie.2019.05.046","journal-title":"Gastrointest Endosc"},{"key":"12215_CR9","doi-asserted-by":"publisher","first-page":"1931","DOI":"10.1007\/s00464-020-08282-0","volume":"35","author":"GP Kohn","year":"2021","unstructured":"Kohn GP, Dirks RC, Ansari MT, Clay J, Dunst CM, Lundell L, Marks JM, Molena D, Rooker C, Saxena P, Swanstrom L, Wong RK, Pryor AD, Stefanidis D (2021) SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia. Surg Endosc 35:1931\u20131948. https:\/\/doi.org\/10.1007\/s00464-020-08282-0","journal-title":"Surg Endosc"},{"key":"12215_CR10","doi-asserted-by":"publisher","first-page":"1632","DOI":"10.1007\/s00464-018-6438-z","volume":"33","author":"F Filicori","year":"2019","unstructured":"Filicori F, Dunst CM, Sharata A, Abdelmoaty WF, Zihni AM, Reavis KM, Demeester SR, Swanstr\u00f6m LL (2019) Long-term outcomes following POEM for non-achalasia motility disorders of the esophagus. Surg Endosc 33:1632\u20131639. https:\/\/doi.org\/10.1007\/s00464-018-6438-z","journal-title":"Surg Endosc"},{"key":"12215_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09596-x","author":"TJ Morley","year":"2022","unstructured":"Morley TJ, Mikulski MF, Rade M, Chalhoub J, Desilets DJ, Romanelli JR (2022) Per-oral endoscopic myotomy for the treatment of non-achalasia esophageal dysmotility disorders: experience from a single high-volume center. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-022-09596-x","journal-title":"Surg Endosc"},{"key":"12215_CR12","doi-asserted-by":"publisher","first-page":"5508","DOI":"10.1007\/s00464-019-07348-y","volume":"34","author":"L Bernardot","year":"2020","unstructured":"Bernardot L, Roman S, Barret M, Vitton V, Wallenhorst T, Pioche M, Chaussade S, Gonzalez J-M, Ponchon T, Prat F, Barthet M, Vergniol J, Chabrun E, Zerbib F (2020) Efficacy of per-oral endoscopic myotomy for the treatment of non-achalasia esophageal motor disorders. Surg Endosc 34:5508\u20135515. https:\/\/doi.org\/10.1007\/s00464-019-07348-y","journal-title":"Surg Endosc"},{"key":"12215_CR13","doi-asserted-by":"publisher","first-page":"E1031","DOI":"10.1055\/a-0625-6288","volume":"6","author":"MA Khashab","year":"2018","unstructured":"Khashab MA, Familiari P, Draganov PV, Aridi HD, Cho JY, Ujiki M, Rio Tinto R, Louis H, Desai PN, Velanovich V, Alb\u00e9niz E, Haji A, Marks J, Costamagna G, Devi\u00e8re J, Perbtani Y, Hedberg M, Estremera F, Martin Del Campo LA, Yang D, Bukhari M, Brewer O, Sanaei O, Fayad L, Agarwal A, Kumbhari V, Chen Y-I (2018) Peroral endoscopic myotomy is effective and safe in non-achalasia esophageal motility disorders: an international multicenter study. Endosc Int Open 6:E1031\u2013E1036. https:\/\/doi.org\/10.1055\/a-0625-6288","journal-title":"Endosc Int Open"},{"key":"12215_CR14","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1159\/000491707","volume":"36","author":"Y Ushimaru","year":"2018","unstructured":"Ushimaru Y, Nakajima K, Takahashi T, Yamasaki M, Mori M, Doki Y (2018) Occult hiatal hernia in achalasia patients: its incidence and treatment options. Dig Surg 36:418\u2013425. https:\/\/doi.org\/10.1159\/000491707","journal-title":"Dig Surg"},{"issue":"1","key":"12215_CR15","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1007\/BF00201690","volume":"18","author":"DJ Ott","year":"1993","unstructured":"Ott DJ, Hodge RG, Chen MYM, Wu WC, Gelfand DW (1993) Achalasia associated with hiatal hernia: prevalence and potential implications. Abdom Imaging 18(1):7\u20139. https:\/\/doi.org\/10.1007\/BF00201690","journal-title":"Abdom Imaging"},{"key":"12215_CR16","first-page":"196","volume":"48","author":"AA Khan","year":"1998","unstructured":"Khan AA, Shah SW, Khan MA, Alam A, Butt AK, Shafqat F (1998) Hiatal hernia in achalasia. JPMA J Pak Med Assoc 48:196\u2013197","journal-title":"JPMA J Pak Med Assoc"},{"key":"12215_CR17","first-page":"177","volume":"17","author":"ED Palmer","year":"1971","unstructured":"Palmer ED (1971) Hiatus hernia associated with achalasia of the esophagus. Gastrointest Endosc 17:177\u2013178","journal-title":"Gastrointest Endosc"},{"key":"12215_CR18","doi-asserted-by":"publisher","first-page":"528","DOI":"10.1007\/BF01307575","volume":"37","author":"SP Goldenberg","year":"1992","unstructured":"Goldenberg SP, Vos C, Burrell M, Traube M (1992) Achalasia and hiatal hernia. Dig Dis Sci 37:528\u2013531. https:\/\/doi.org\/10.1007\/BF01307575","journal-title":"Dig Dis Sci"},{"key":"12215_CR19","first-page":"1256","volume":"82","author":"W Taub","year":"1987","unstructured":"Taub W, Achkar E (1987) Hiatal hernia in patients with achalasia. Am J Gastroenterol 82:1256\u20131258","journal-title":"Am J Gastroenterol"},{"key":"12215_CR20","first-page":"1567","volume":"87","author":"H Meshkinpour","year":"1992","unstructured":"Meshkinpour H, Kaye L, Elias A, Glick ME (1992) Manometric and radiologic correlations in achalasia. Am J Gastroenterol 87:1567\u20131570","journal-title":"Am J Gastroenterol"},{"key":"12215_CR21","doi-asserted-by":"publisher","first-page":"7923","DOI":"10.1007\/s00464-023-10260-1","volume":"37","author":"TJ Morley","year":"2023","unstructured":"Morley TJ, Mikulski MF, Zalewski A, Desilets DJ, Romanelli JR (2023) What role does the submucosa play in the pathophysiology and treatment of achalasia? An analysis of impedance planimetry during POEM. Surg Endosc 37:7923\u20137932. https:\/\/doi.org\/10.1007\/s00464-023-10260-1","journal-title":"Surg Endosc"},{"key":"12215_CR22","unstructured":"R Core Team (2025). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna,\nAustria. http:\/\/www.r-project.org\/."},{"key":"12215_CR23","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1016\/j.gie.2015.07.028","volume":"82","author":"AL Banks-Venegoni","year":"2015","unstructured":"Banks-Venegoni AL, Desilets DJ, Romanelli JR, Earle DB (2015) Tension capnopericardium and cardiac arrest as an unexpected adverse event of peroral endoscopic myotomy (with video). Gastrointest Endosc 82:1137\u20131139. https:\/\/doi.org\/10.1016\/j.gie.2015.07.028","journal-title":"Gastrointest Endosc"},{"key":"12215_CR24","doi-asserted-by":"publisher","first-page":"4543","DOI":"10.1007\/s00464-024-10948-y","volume":"38","author":"P Xu","year":"2024","unstructured":"Xu P, Liu Z, Zhang J, Wang L, Wang K, Yao L, Li Q, Zhou P (2024) Peroral endoscopic myotomy is an effective treatment for achalasia combined with hiatal hernia. Surg Endosc 38:4543\u20134549. https:\/\/doi.org\/10.1007\/s00464-024-10948-y","journal-title":"Surg Endosc"},{"key":"12215_CR25","doi-asserted-by":"publisher","first-page":"455","DOI":"10.5056\/jnm22151","volume":"29","author":"G Tutuian","year":"2023","unstructured":"Tutuian G, Leandri C, Tutuian R, Scialom S, Leconte M, Dohan A, Coriat R, Chaussade S, Barret M (2023) Achalasia and hiatal hernia: a rare association and a therapeutic challenge. J Neurogastroenterol Motil 29:455\u2013459. https:\/\/doi.org\/10.5056\/jnm22151","journal-title":"J Neurogastroenterol Motil"},{"key":"12215_CR26","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1001\/archsurg.138.5.490","volume":"138","author":"BK Oelschlager","year":"2003","unstructured":"Oelschlager BK, Chang L, Pellegrini CA (2003) Improved outcome after extended gastric myotomy for achalasia. Arch Surg 138:490\u2013497. https:\/\/doi.org\/10.1001\/archsurg.138.5.490","journal-title":"Arch Surg"},{"key":"12215_CR27","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1097\/01.sla.0000136940.32255.51","volume":"240","author":"WO Richards","year":"2004","unstructured":"Richards WO, Torquati A, Holzman MD, Khaitan L, Byrne D, Lutfi R, Sharp KW (2004) Heller Myotomy versus Heller Myotomy with dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. Ann Surg 240:405\u2013415. https:\/\/doi.org\/10.1097\/01.sla.0000136940.32255.51","journal-title":"Ann Surg"},{"key":"12215_CR28","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1007\/s11894-017-0580-y","volume":"19","author":"H Philpott","year":"2017","unstructured":"Philpott H, Sweis R (2017) Hiatus hernia as a cause of dysphagia. Curr Gastroenterol Rep 19:40. https:\/\/doi.org\/10.1007\/s11894-017-0580-y","journal-title":"Curr Gastroenterol Rep"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12215-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-12215-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12215-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T18:36:26Z","timestamp":1763145386000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-12215-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,19]]},"references-count":28,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["12215"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-12215-0","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,19]]},"assertion":[{"value":"15 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Matthew F. Mikulski, Zachary R. Stickney, Giulia S. Rizzo, David J. Desilets and John R. Romanelli have no conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}