What question did this study set out to answer?

This research aims to evaluate the long-term efficacy and safety of peroral endoscopic myotomy (POEM) for treating achalasia over an extended follow-up period.

March 14, 2026Surgical Endoscopy0 citationsOpen Access

Long-term outcomes of peroral endoscopic myotomy for achalasia: a systematic review and meta-analysis with median follow-up ≥ 5 years

YCYuxin ChenZhejiang Chinese Medical University YCYifei ChenZhejiang Chinese Medical University BLBin LvZhejiang Chinese Medical University

Puntos clave

This research aims to evaluate the long-term efficacy and safety of peroral endoscopic myotomy (POEM) for treating achalasia over an extended follow-up period.
Conducted a systematic review and meta-analysis
Included studies with median follow-up of 5 years or more
Analyzed outcomes related to efficacy and safety of POEM
POEM demonstrated consistent long-term efficacy and safety outcomes
Postoperative symptomatic reflux was the most common long-term complication
Risks of Barrett's esophagus and peptic stricture remained low

Resumen

POEM has demonstrated consistent long-term efficacy and safety. Postoperative symptomatic reflux is the most common long-term complication, while the risks of Barrett's esophagus and peptic stricture remain low. POEM represents a reliable first-line treatment option; however, further multicenter prospective studies are needed to validate its long-term efficacy and safety.

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