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We thank Drs Van Hoeij and Bredenoord for their interest in our article.1 2 Their letter focuses on the observed mortality and perforation rates following pneumatic dilatation (PD) for achalasia.
It is important to recognise that, unlike the randomised controlled trial3 and systematic review4 quoted by Drs Van Hoeij and Bredenoord, our study was based on unselected subjects with achalasia receiving standard clinical care throughout England.2 Our study therefore contained much older subjects with more comorbidity, as …
Contributors PRH, NJT and PP drafted and approved this letter.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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