Esophageal tortuosity in achalasia: increased length-to-height ratio predicts inferior symptom relief and esophageal emptying following myotomy
Length-to-height ratio was the only variable highly predictive of both longitudinal post-myotomy symptom relief and complete esophageal emptying, whereas manometric subtype was less predictive. These findings highlight the importance of tortuosity in the treatment of patients with achalasia, suggesting that inclusion of esophageal morphology in future iterations of achalasia classification is warranted.
Authors
- Eugene H. Blackstone (ORCID: https://orcid.org/0000-0001-9839-3567)
- Nethra Jain (ORCID: https://orcid.org/0009-0008-6683-2236)
- Soon Moon
- Siva Raja (ORCID: https://orcid.org/0000-0002-2479-7769)
- Andrew J. Toth (ORCID: https://orcid.org/0000-0001-8373-0559)
- Sadia Tasnim (ORCID: https://orcid.org/0000-0003-2077-206X)
- Sudish C. Murthy (ORCID: https://orcid.org/0000-0002-1543-2872)
- Madhusudhan R. Sanaka (ORCID: https://orcid.org/0000-0003-2506-8602)
- John Barron (ORCID: https://orcid.org/0000-0001-9447-1572)
- Mark E. Baker (ORCID: https://orcid.org/0000-0001-5023-3361)
- Monisha Sudarshan
Institutions
- Cleveland Clinic (US)
- South Pointe Hospital (US)
Publication Details
- Journal
- Surgical Endoscopy
- Published
- 2024-10-14
- DOI
- https://doi.org/10.1007/s00464-024-11200-3
- Citations
- 1
- Primary Topic
- Gastroesophageal reflux and treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.46
Funders
- Cleveland Clinic