Surgical Endoscopy · 27 January 2026

Myotomy Methods Equal for Type III Achalasia Patients

Both per oral endoscopic myotomy (POEM) and laparoscopic Heller myotomy (LHM) deliver similar outcomes for treating Type III achalasia, suggesting flexibility in surgical approach.

Success rates post-procedure were nearly identical: 88% for POEM (14 of 16) vs. 87% for LHM (26 of 30), with p=0.94.
Re-intervention rates were also similar: 25% for POEM and 16.7% for LHM, with no significant difference (p=0.49).

Surgeons can confidently choose either method with expectations for comparable efficacy.

Journal Article by Jeeji AK, White PT (…) Louie BE et 3 al. in J Gastrointest Surg

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