{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:35:37Z","timestamp":1777448137466,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T00:00:00Z","timestamp":1652227200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic Heller myotomy (LHM) and esophageal balloon dilation (BD) are the two mainstays of achalasia treatment\u2014this study examines the outcomes when they are performed simultaneously without fundoplication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients undergoing LHM&amp;BD were reviewed for demographic and procedural data, and to see if additional procedures for achalasia had been performed. Patients were surveyed using the Eckardt score and the GERD quality-of-life score (GERD-HRQL) to assess the durability of repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2013-2020, 66 patients underwent LHM&amp;BD. There were no esophageal perforations and a median LOS of 1 day. Seven patients have required additional operations or procedures at median 4-years follow up. 31 patients (47%) responded to the survey. The average Eckardt score was 2.9 (goal&lt;4) with mean GERD-HRQL of 14.4 (goal&lt;25).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LHM&amp;BD allows for a safe, durable repair of achalasia. Reflux symptoms are manageable with PPI without fundoplication and the re-intervention rate similar to published values.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221101473","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T11:21:46Z","timestamp":1652268106000},"page":"2445-2449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Heller Myotomy With EGD and Balloon Dilation: A Durable Solution for Achalasia"],"prefix":"10.1177","volume":"89","author":[{"given":"Benjamin R.","family":"Zambetti","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2225-0409","authenticated-orcid":false,"given":"William G.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenic","family":"Craner","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise L.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin D.","family":"Pettigrew","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy R.","family":"Voeller","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel F. N.","family":"Stoikes","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,5,11]]},"reference":[{"key":"bibr1-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60651-0"},{"key":"bibr2-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000212"},{"key":"bibr3-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1905380"},{"key":"bibr4-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.18.2227"},{"key":"bibr5-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000114217.52941.c5"},{"key":"bibr6-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5845-x"},{"key":"bibr7-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000136940.32255.51"},{"key":"bibr8-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.10.046"},{"key":"bibr9-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04264-3"},{"key":"bibr10-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doaa080"},{"key":"bibr11-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002311"},{"key":"bibr12-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318159d7dd"},{"key":"bibr13-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.01.035"},{"key":"bibr14-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318190a776"},{"key":"bibr15-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-017-3578-8"},{"key":"bibr16-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9327-4"},{"key":"bibr17-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2015.0523"},{"key":"bibr18-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.06.049"},{"key":"bibr19-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.09.059"},{"key":"bibr20-00031348221101473","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.07.053"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221101473","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221101473","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221101473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:02Z","timestamp":1777379822000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221101473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,11]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/00031348221101473"],"URL":"https:\/\/doi.org\/10.1177\/00031348221101473","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,11]]}}}