What question did this study set out to answer?

To highlight the misdiagnosis of achalasia as hiatal hernia and discuss effective treatment options.

Diagnosis and treatment of achalasia of the cardia, initially regarded as a hernia of the esophageal orifice of the diaphragm

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Clinical case reveals that preoperative manometry is crucial in diagnosing dysphagia to improve treatment outcomes.

To highlight the misdiagnosis of achalasia as hiatal hernia and discuss effective treatment options.
Clinical case study of a 50-year-old female patient
Underwent two surgical interventions for previously misdiagnosed dysphagia
Preoperative high-resolution manometry confirmed type I achalasia and informed treatment decision
Complete resolution of dysphagia and regurgitation post-POEM
Significant improvement in nutritional status and quality of life
No recurrence or need for repeat interventions during follow-up

Tatarinova et al. (2026) studied this question.

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