{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:20:09Z","timestamp":1790374809089,"version":"4.1.0"},"reference-count":29,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.jtcvs.2025.06.011","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T15:36:21Z","timestamp":1750260981000},"page":"1821-1830.e4","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Heller myotomy for esophageal achalasia: Outcomes in 1010 patients with longitudinal follow-up"],"prefix":"10.1016","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9447-1572","authenticated-orcid":false,"given":"John O.","family":"Barron","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Toth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene H.","family":"Blackstone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadhvika","family":"Ramji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nethra","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadia","family":"Tasnim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashanthi N.","family":"Thota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott L.","family":"Gabbard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Zanoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monisha","family":"Sudarshan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudish C.","family":"Murthy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siva","family":"Raja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurav","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Qin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Beveridge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel P.","family":"Raymond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib1","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.14058","article-title":"Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0\u00a9","volume":"33","author":"Yadlapati","year":"2021","journal-title":"Neurogastroenterol Motil"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.06.011_bib2","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.jtcvs.2018.11.132","article-title":"Per oral endoscopic myotomy: another tool in the toolbox","volume":"158","author":"Raja","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.06.011_bib3","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.athoracsur.2023.05.047","article-title":"The value of fundoplication in the treatment of type I achalasia","volume":"117","author":"Barron","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib4","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.athoracsur.2020.12.036","article-title":"Minimally invasive \u201c3-stitch\u201d modification of the Dor fundoplication: simple and effective","volume":"113","author":"Feczko","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.06.011_bib5","doi-asserted-by":"crossref","first-page":"251","DOI":"10.5056\/jnm.2013.19.2.251","article-title":"How to perform and interpret timed barium esophagogram","volume":"19","author":"Neyaz","year":"2013","journal-title":"J Neurogastroenterol Motil"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.06.011_bib6","doi-asserted-by":"crossref","first-page":"1732","DOI":"10.1016\/0016-5085(92)91428-7","article-title":"Predictors of outcome in patients with achalasia treated by pneumatic dilation","volume":"103","author":"Eckardt","year":"1992","journal-title":"Gastroenterology"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.06.011_bib7","doi-asserted-by":"crossref","DOI":"10.1093\/dote\/doaa080","article-title":"Accuracy of Achalasia Quality of Life and Eckardt scores for assessment of clinical improvement post treatment for achalasia","volume":"34","author":"Slone","year":"2021","journal-title":"Dis Esophagus"},{"key":"10.1016\/j.jtcvs.2025.06.011_bib8","series-title":"Applied Life Data Analysis","author":"Nelson","year":"2003"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib9","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/0962280214537255","article-title":"A multiphase non-linear mixed effects model: an application to spirometry after lung transplantation","volume":"26","author":"Rajeswaran","year":"2017","journal-title":"Stat Methods Med Res"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.06.011_bib10","first-page":"25","article-title":"Random survival forests for R","volume":"7","author":"Ishwaran","year":"2007","journal-title":"R News"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.06.011_bib11","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/sam.11348","article-title":"Random forest missing data algorithms","volume":"10","author":"Tang","year":"2017","journal-title":"Stat Anal Data Min"},{"key":"10.1016\/j.jtcvs.2025.06.011_bib12","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1214\/07-EJS039","article-title":"Variable importance in binary regression trees and forests","volume":"1","author":"Ishwaran","year":"2007","journal-title":"Electron J Stat"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib13","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1177\/0962280215623583","article-title":"Probability of atrial fibrillation after ablation: using a parametric nonlinear temporal decomposition mixed effects model","volume":"27","author":"Rajeswaran","year":"2018","journal-title":"Stat Methods Med Res"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.06.011_bib14","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1002\/sim.7803","article-title":"Standard errors and confidence intervals for variable importance in random forest regression, classification, and survival","volume":"38","author":"Ishwaran","year":"2019","journal-title":"Stat Med"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.06.011_bib15","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s10994-016-5597-1","article-title":"Boosted multivariate trees for longitudinal data","volume":"106","author":"Pande","year":"2017","journal-title":"Mach Learn"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib16","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11605-018-3956-x","article-title":"A thousand and one laparoscopic Heller myotomies for esophageal achalasia: a 25-year experience at a single tertiary center","volume":"23","author":"Costantini","year":"2019","journal-title":"J Gastrointest Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.06.011_bib17","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1097\/SLA.0b013e3181907bdd","article-title":"Four hundred laparoscopic myotomies for esophageal achalasia: a single centre experience","volume":"248","author":"Zaninotto","year":"2008","journal-title":"Ann Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.06.011_bib18","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1016\/j.jtcvs.2022.04.046","article-title":"A comparative study of robotic and laparoscopic approaches to Heller myotomy","volume":"164","author":"Raja","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.06.011_bib19","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1136\/gutjnl-2015-310602","article-title":"Long-term results of the European achalasia trial: a multicentre randomised controlled trial comparing pneumatic dilation versus laparoscopic Heller myotomy","volume":"65","author":"Moonen","year":"2016","journal-title":"Gut"},{"issue":"23","key":"10.1016\/j.jtcvs.2025.06.011_bib20","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1056\/NEJMoa1905380","article-title":"Endoscopic or surgical myotomy in patients with idiopathic achalasia","volume":"381","author":"Werner","year":"2019","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib21","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s11605-017-3578-8","article-title":"Dor vs Toupet fundoplication after laparoscopic Heller myotomy: long-term randomized controlled trial evaluated by high-resolution manometry","volume":"22","author":"Torres-Villalobos","year":"2018","journal-title":"J Gastrointest Surg"},{"issue":"12","key":"10.1016\/j.jtcvs.2025.06.011_bib22","doi-asserted-by":"crossref","first-page":"6513","DOI":"10.1007\/s00464-020-08148-5","article-title":"Over ten-year outcomes of laparoscopic Heller-myotomy with Dor-fundoplication with achalasia: single-center experience with annual endoscopic surveillance","volume":"35","author":"Fukushima","year":"2021","journal-title":"Surg Endosc"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.06.011_bib23","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.1097\/SLA.0000000000005677","article-title":"Outcomes of Heller myotomy for esophageal achalasia: lessons from a 48-year prospective experience with 4 different techniques","volume":"278","author":"Tassi","year":"2023","journal-title":"Ann Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.06.011_bib24","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1007\/s00464-004-8941-7","article-title":"The laparoscopic Heller-Dor operation remains an effective treatment for esophageal achalasia at a minimum 6-year follow-up","volume":"19","author":"Costantini","year":"2005","journal-title":"Surg Endosc"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.06.011_bib25","doi-asserted-by":"crossref","first-page":"1668","DOI":"10.1007\/s00464-017-5845-x","article-title":"Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: long-term symptomatic follow-up of a prospective randomized controlled trial","volume":"32","author":"Broman","year":"2018","journal-title":"Surg Endosc"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.06.011_bib26","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1111\/j.1442-2050.2008.00914.x","article-title":"Evaluation of the response to treatment in patients with idiopathic achalasia by the timed barium esophagogram: results from a randomized clinical trial","volume":"22","author":"Andersson","year":"2009","journal-title":"Dis Esophagus"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.06.011_bib27","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1016\/j.jtcvs.2010.07.053","article-title":"Long-term results of the Heller-Dor operation with intraoperative manometry for the treatment of esophageal achalasia","volume":"140","author":"Mattioli","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.06.011_bib28","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1007\/s00464-022-09696-8","article-title":"Laparoscopic Heller-Dor is an effective long-term treatment for end-stage achalasia","volume":"37","author":"Salvador","year":"2023","journal-title":"Surg Endosc"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.06.011_bib29","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1007\/s00464-005-0365-5","article-title":"Laparoscopic Heller myotomy and Dor fundoplication for the treatment of achalasia. Assessment in relation to morphologic type","volume":"20","author":"Omura","year":"2006","journal-title":"Surg Endosc"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522325005318?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522325005318?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T12:54:58Z","timestamp":1778936098000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522325005318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S0022522325005318"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.06.011","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Heller myotomy for esophageal achalasia: Outcomes in 1010 patients with longitudinal follow-up","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.06.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}