Should you peg a patient with achalasia?

NO evidence: Achalasia (cardia) is a benign disease, dysphagia or difficulty of swallowing could be cured by ballon dilatation or by surgery , do not need peg feeding , if a gastric tube feeding is done could be due to some other reason.

Lots to consider...: Individualized considerations come into play when choosing nutritional options for a person--indication, expected duration of use/need, life expectancy, quality of life, patient preference (e.g. Living will), anticipated patient tolerance, family consensus, co-morbidities that preclude sedation, patient anatomy that may prevent ease of placement, risk of aspiration, quality of gut function, more.

Depends: Symptom relief with pneumatic dilation or myotomy (laparoscopic or endoscopic) is usually the best, then the patient can eat. If norther of these are options, a peg could be an option, but i would imagine this scenario is uncommon.