Achalasia is a rare esophageal motility disorder characterized by symptoms of dysphagia, regurgitation, and chest pain, which negatively impact esophageal-specific quality of life (E-QOL).1,2 Primary treatment approaches include pneumatic dilation, per-oral endoscopic myotomy, and laparoscopic Heller myotomy.1 Although many patients improve with treatment,1 a subset continue to report symptoms and poor E-QOL,3 suggesting additional factors may play a role in achalasia outcomes.
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