Has the recent trial by regarding long-term outcomes changed your default salvage therapy after failed Heller myotomy in a patient with recurrent achalasia?

In our practice, we certainly do discuss both POEM and pneumatic dilation for patients with recurrent symptoms who have previously had a Heller myotomy. We feel that POEM is a very reasonable and appropriate next step in these patients, but ultimately, it comes down to a discussion with the patient ...