This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Endoscopic or surgical myotomy in patients with idiopathic achalasia. N Engl J Med 2019; 381: 2219-2229

Published: 24th January 2020

Authors: Werner YB, Hakanson B, Martinek J, Repici A, von Rahden BHA, Bredenoord AJ et al.

Conclusion

In this study that included 221 procedures, after two years clinical success rates were 83 per cent after endoscopic myotomy and 81.7 per cent after laparoscopic Heller’s procedure. At two years, reflux oesophagitis was more common after endoscopic myotomy: 44 versus 29 per cent.

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