The choice of myotomy in achalasia cardia: Heller's or per-oral endoscopic myotomy

AC is a chronic disease and a proportion of cases do relapse after the initial response. [...]it is important to consider the cost associated with treatment of recurrent symptoms as well as that of managing reflux symptoms. [...]LHM is still the current gold standard of surgical myotomy. RAHM is not available at many centers and the establishment of robotic system is a costly affair in itself. [...]the applicability of results in the present study remains to be seen.