Presence of esophageal contractility after achalasia treatment is associated with improved esophageal emptying.

ABSTRACT:

Background and aims

Some achalasia patients exhibit esophageal contractile activity on follow-up after treatment, yet its importance remains unclear. We aimed to identify factors associated with presence of contractility after treatment and to assess its impact on timed barium esophagram (TBE) and clinical outcomes.

Methods

Patients with type I or II achalasia on baseline high-resolution manometry (HRM) who completed HRM, TBE, and functional lumen imaging probe (FLIP) after treatment were retrospectively identified. Contractility was defined on post-treatment HRM as presence of at least 1 supine swallow with DCI ≥100 mmHg s cm.

Key results

One hundred twenty-two patients were included (mean age 48 ± 17 years, 50% female). At follow-up evaluation after treatment (54% p

SUBMITTER: Vespa E 

PROVIDER: S-EPMC10922458 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature