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Shorter surgery may be just as effective for treating achalasia

NCT ID NCT07686471

Not yet recruiting Disease control Sponsor: Assiut University Source: ClinicalTrials.gov ↗

First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time

Summary

This trial tests whether a shorter muscle cut during a procedure called POEM works as well as a longer one for people with type II achalasia, a condition where the esophagus fails to push food into the stomach. Fifty participants will be randomly assigned to receive either a short or long myotomy. The study measures symptom improvement, procedure time, complications, and recovery, with follow-up at three months.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
per-oral endoscopic myotomy (POEM) procedure
What this could lead to
If short myotomy works as well as long myotomy with fewer complications, it could become the preferred surgical approach for type II achalasia, reducing recovery time and risks.
What could go wrong
This is a small, early-stage trial with only 50 participants, so results may not apply to all patients. The procedure itself carries risks like bleeding, infection, or perforation, and the short myotomy might not relieve symptoms as effectively.

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Conditions

The condition(s) this trial relates to.

achalasia Esophageal Achalasia idiopathic achalasia

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

ESOPHAGEAL ACHALASIA

Contacts and locations

Study contacts

  • Contact

    Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Assiut university hosoital

    Asyut, 71511, Egypt

    Contact Phone: •••-•••-•••• Email: •••••@•••••

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