作者
Vivek Kumbhari, Alan H Tieu, Manabu Onimaru, Mohammad H El Zein, Ezra N Teitelbaum, Michael B Ujiki, Matthew E Gitelis, Rani J Modayil, Eric S Hungness, Stavros N Stavropoulos, Hiro Shiwaku, Rastislav Kunda, Philip Chiu, Payal Saxena, Ahmed A Messallam, Haruhiro Inoue, Mouen A Khashab
发表日期
2015/6
期刊
Endoscopy international open
卷号
3
期号
03
页码范围
E195-E201
出版商
© Georg Thieme Verlag KG
简介
Background and study aims: Type III achalasia is characterized by rapidly propagating pressurization attributable to spastic contractions. Although laparoscopic Heller myotomy (LHM) is the current gold standard management for type III achalasia, peroral endoscopic myotomy (POEM) is conceivably superior because it allows for a longer myotomy. Our aims were to compare the efficacy and safety of POEM with LHM for type III achalasia patients.
Patients and methods: A retrospective study of 49 patients who underwent POEM for type III achalasia across eight centers were compared to 26 patients who underwent LHM at a single institution. Procedural data were abstracted and pre- and post-procedural symptoms were recorded. Clinical response was defined by improvement of symptoms and decrease in Eckardt stage to ≤ 1. Secondary outcomes included length of myotomy, procedure duration, length of …
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V Kumbhari, AH Tieu, M Onimaru, MH El Zein… - Endoscopy international open, 2015