Higher Area Deprivation Index scores predict incomplete pre-operative high-resolution manometry in Achalasia patients undergoing peroral endoscopic myotomy - Report - MDSpire

Higher Area Deprivation Index scores predict incomplete pre-operative high-resolution manometry in Achalasia patients undergoing peroral endoscopic myotomy

  • By

  • Yassmin Hegazy

  • Mary Michael Shannon

  • Dylan Mcclain

  • Justin Labonte

  • Venkata Seerapu

  • Eldrin Bhanat

  • Salit Chakma

  • Fazlay Faruque

  • Jacob Moremen

  • July 9, 2026

  • 0 min

Share

Elevated Area Deprivation Index Scores Correlate with Incomplete HRM Findings

Overview

This study investigates the correlation between Area Deprivation Index (ADI) scores and the completion rates of high-resolution manometry (HRM) in achalasia patients undergoing peroral endoscopic myotomy (POEM).

Background

Achalasia is a significant esophageal motility disorder that leads to severe symptoms and requires accurate diagnosis and treatment. High-resolution manometry is essential for diagnosing achalasia but may be less accessible in certain communities.

Data Highlights

No specific numerical data or trial results were provided in the source material.

Key Findings

  • Achalasia is characterized by impaired lower esophageal sphincter relaxation and high symptom burden.
  • High-resolution manometry (HRM) is the gold standard for diagnosing achalasia.
  • Peroral endoscopic myotomy (POEM) is an established treatment for all achalasia subtypes.
  • Higher Area Deprivation Index (ADI) scores correlate with lower HRM completion rates.
  • Patients with higher ADI scores also show reduced adherence to post-operative follow-up.

Clinical Implications

Healthcare providers should be aware of the socioeconomic barriers that may affect the management of achalasia patients.

Conclusion

The findings indicate a need to further investigate socioeconomic factors affecting healthcare access for achalasia patients.

Related Resources & Content

  1. Rodriguez et al., Surgical Endoscopy, 2024 -- Esophageal Tortuosity in Achalasia: A Higher Length-to-Height Ratio Correlates with Reduced Symptom Relief and Impaired Esophageal Emptying Post-Myotomy
  2. Surgical Endoscopy, 2026 -- Prevalence and clinical characteristics of blown-out myotomy after E-POEM for achalasia: a systematic review and meta-analysis
  3. Surgical Endoscopy, 2025 -- Influence of Previous Endoscopic or Surgical Treatments on Outcomes Following Peroral Endoscopic Myotomy for Achalasia
  4. ESOPHAGEAL MOTILITY DISORDERS ON HIGH RESOLUTION MANOMETRY: CHICAGO CLASSIFICATION VERSION 4.0© - PMC
  5. Advances in per-oral endoscopic myotomy – American Gastroenterological Association
  6. Surgical Endoscopy — Alterations in Esophageal Peristalsis After Per Oral Endoscopic Myotomy in Common Motility Disorders
  7. ESOPHAGEAL MOTILITY DISORDERS ON HIGH RESOLUTION MANOMETRY: CHICAGO CLASSIFICATION VERSION 4.0© - PMC
  8. Advances in per-oral endoscopic myotomy – American Gastroenterological Association
  9. Provider-delivered phone reminders increase colonoscopy completion at a safety net hospital - ScienceDirect

Original Source(s)

Higher Area Deprivation Index scores predict incomplete pre-operative high-resolution manometry in Achalasia patients undergoing peroral endoscopic myotomy

  • by Yassmin Hegazy, Mary Michael Shannon, Dylan Mcclain, Justin Labonte, Venkata Seerapu, Eldrin Bhanat, Salit Chakma, Fazlay Faruque, Jacob Moremen

  • July 9, 2026

Related Content

Correction: Advanced computer-aided detection system exhibits no more false positives than experienced endoscopists in an image-based comparative study of colon polyps

Engineering allogeneic type 1 regulatory T cells: a scalable, off-the-shelf platform for restoring immune tolerance

Multimodal salvage therapy for locally advanced esophageal cancer recurrence after failed post-ESD surveillance: a case report