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

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  • 1

    Achalasia is characterized by impaired lower esophageal sphincter relaxation, leading to symptoms like dysphagia and regurgitation.

  • 2

    High-Resolution Manometry (HRM) is the gold standard for diagnosing Achalasia, identifying esophageal aperistalsis and high integrated relaxation pressure.

  • 3

    The Area Deprivation Index (ADI) quantifies neighborhood disadvantage and has been linked to healthcare inequities and poor surgical outcomes.

  • 4

    Mississippi has significant healthcare access issues, with a high percentage of its population living in rural areas and many counties designated as Medically Underserved.

  • 5

    The study examines the relationship between ADI scores and the completion of HRM and post-operative follow-up in Achalasia patients undergoing POEM.

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