Journal ArticleDOI
Laparoscopic Heller's myotomy versus pneumatic dilation in the treatment of idiopathic achalasia: a meta-analysis of randomized, controlled trials.
Mohammad Yaghoobi,Serge Mayrand,Myriam Martel,Ira Roshan-Afshar,Raheleh Bijarchi,Alan N. Barkun +5 more
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TLDR
This meta-analysis suggests that LHM may provide greater response rates as compared with graded PD in the treatment of newly diagnosed idiopathic achalasia, with lesser rates of major adverse events, in up to 1 year after treatment, although additional data are needed to confirm the validity of this conclusion in long-term follow-up.About:
This article is published in Gastrointestinal Endoscopy.The article was published on 2013-09-01. It has received 122 citations till now. The article focuses on the topics: Myotomy & Randomized controlled trial.read more
Citations
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Journal ArticleDOI
ACG clinical guideline: diagnosis and management of achalasia
TL;DR: This ACG guideline presents an evidence-based approach in patients with achalasia based on a comprehensive review of the pertinent evidence and examination of relevant published data.
Journal ArticleDOI
Long-term results of the European achalasia trial: a multicentre randomised controlled trial comparing pneumatic dilation versus laparoscopic Heller myotomy
An Moonen,Vito Annese,Ann Belmans,Albert J. Bredenoord,Stanislas Bruley des Varannes,Mario Costantini,Bertrand Dousset,J I Elizalde,Uberto Fumagalli,Marianne Gaudric,Antonio Merla,André J.P.M. Smout,Jan Tack,Giovanni Zaninotto,Olivier R. Busch,Guy E. Boeckxstaens +15 more
TL;DR: It is concluded that either laparoscopic Heller myotomy or endoscopic pneumodilation can be proposed as initial treatment for achalasia with a comparable success rate with no differences in oesophageal function and emptying after at least 5 years of follow-up.
Journal ArticleDOI
The 2018 ISDE achalasia guidelines
Giovanni Zaninotto,Cathy Bennett,Guy E. Boeckxstaens,Mario Costantini,Mark K. Ferguson,John E. Pandolfino,Marco G. Patti,Ulysses Ribeiro,Joel E. Richter,Lee L. Swanstrom,Jan Tack,George Triadafilopoulos,Sheraz R. Markar,Renato Salvador,L. Faccio,Nelson Adami Andreollo,Ivan Cecconello,Guido Costamagna,J. R. M. Da Rocha,Eric S. Hungness,Piero M. Fisichella,Karl-Hermann Fuchs,Ines Gockel,Richard Ricachenevsky Gurski,Chandra Prakash Gyawali,Fernando A. M. Herbella,Richard H. Holloway,Michio Hongo,Blair A. Jobe,Peter J. Kahrilas,David A. Katzka,Kulwinder S. Dua,D. Liu,An Moonen,Ary Nasi,Pankaj J. Pasricha,Roberto Penagini,Silvana Perretta,Rubens Antonio Aissar Sallum,Giovanni Sarnelli,Edoardo Savarino,Francisco Schlottmann,Daniel Sifrim,Nathaniel J. Soper,Roger P. Tatum,M. F. Vaezi,M. Y. A. van Herwaarden-Lindeboom,Tim Vanuytsel,M. F. Vela,David I. Watson,Frank Zerbib,Stuart Gittens,C. Pontillo,S. Vermigli,D. Inama,Donald E. Low +55 more
TL;DR: These guidelines deal specifically with the following achalasia issues: Diagnostic workup, Definition of the disease, Severity of presentation, Medical treatment, Botulinum Toxin injection, Pneumatic dilatation, POEM, Other endoscopic treatments, Laparoscopic myotomy, definition of recurrence, Follow up and risk of cancer.
Journal ArticleDOI
GERD after per-oral endoscopic myotomy as compared with Heller's myotomy with fundoplication: a systematic review with meta-analysis.
Alessandro Repici,Lorenzo Fuccio,Roberta Maselli,Fabrizio Mazza,Loredana Correale,Daniele Mandolesi,Cristina Bellisario,Amrita Sethi,Mouen A. Khashab,Thomas Rösch,Cesare Hassan +10 more
TL;DR: The incidence of reflux disease appears to be significantly more frequent after POEM than after LHM with fundoplication, and monitoring pH and ensuring appropriate treatment afterPOEM should be considered in order to prevent long-term reflux-related adverse events.
Journal ArticleDOI
Clinical outcomes five years after POEM for treatment of primary esophageal motility disorders.
Ezra N. Teitelbaum,Christy M. Dunst,Kevin M. Reavis,Ahmed Sharata,Marc A. Ward,Steven R. DeMeester,Lee L. Swanstrom +6 more
TL;DR: POEM resulted in a successful palliation of symptoms in the majority of patients after 5 years, though these results emphasize the importance of long-term follow-up in all patients.
References
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