Reflux symptoms and oesophageal acidification in treated achalasia patients are often not reflux related.
Fraukje Anna-Marie PondsJacobus M OorsAndré J P M SmoutAlbert J BredenoordPublished in: Gut (2020)
Reflux symptoms in treated achalasia are rarely caused by gastro-oesophageal reflux and most instances of oesophageal acidification are not reflux related. Instead, achalasia patients with post-treatment reflux symptoms demonstrate oesophageal hypersensitivity to chemical and mechanical stimuli, which may determine symptom generation.