Per-oral endoscopic myotomy for achalasia. Are results comparable to laparoscopic Heller myotomy?

AbstractObjective. Per-oral endoscopic myotomy (POEM) has recently been introduced as a minimal invasive alternative to conventional treatment for achalasia. This study aimed to clarify the feasibility and the short-term clinical efficacy of POEM as compared to laparoscopic Heller myotomy (LHM). Met...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2015-05, Vol.50 (5), p.505-512
Main Authors: Kumagai, Koshi, Tsai, Jon A., Thorell, Anders, Lundell, Lars, Håkanson, Bengt
Format: Article
Language:English
Subjects:
achalasia
Adolescent
Adult
Aged
Aged, 80 and over
Body Mass Index
Deglutition Disorders
Dilatation
dysphagia
Esophageal Achalasia - surgery
Esophageal Sphincter, Lower - surgery
Esophagoscopy - methods
Female
gastroesophageal reflux
Gastroesophageal Reflux - surgery
Heller myotomy
Humans
Laparoscopy - methods
Male
Medicin och hälsovetenskap
Middle Aged
Odds Ratio
Operative Time
Randomized Controlled Trials as Topic
timed barium esophagogram
Treatment Failure
Treatment Outcome
Young Adult
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Summary:AbstractObjective. Per-oral endoscopic myotomy (POEM) has recently been introduced as a minimal invasive alternative to conventional treatment for achalasia. This study aimed to clarify the feasibility and the short-term clinical efficacy of POEM as compared to laparoscopic Heller myotomy (LHM). Methods. Treatment outcomes were prospectively recorded and compared between the procedures in a nonrandomized fashion. Reduction rate (RR) in timed barium esophagogram (TBE) was calculated at 1, 2 and 5 min after barium ingestion as: RR = 1− postoperative barium height/preoperative barium height. Risk factors for treatment failure defined as the proportion of patients with RR
ISSN:0036-5521
1502-7708
1502-7708
DOI:10.3109/00365521.2014.934915