"Despite treatment, achalasia patients have significantly worse long-term physical HRQL (Health-related quality of life) compared to population controls. Poor HRQL is most pronounced in patients requiring dual treatment where mental and physical HRQL are significantly impaired. Overall, no long-term HRQL differences were observed between the treatment modalities. However, laparoscopic Heller’s myotomy may confer a benefit and further studies with long-term follow-up are warranted."
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