Journal ArticleDOI
Peroral Endoscopic Myotomy for the Treatment of Achalasia: A Prospective Single Center Study
Daniel von Renteln,Haruhiro Inoue,Hiromi Minami,Yuki B. Werner,Andrea Pace,Jan Felix Kersten,Chressen Catharina Much,Guido Schachschal,Oliver Mann,Jutta Keller,Karl-Hermann Fuchs,Thomas Rösch +11 more
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TLDR
POEM is a promising new treatment for achalasia resulting in short-term symptom relief in >90% of cases and studies evaluating long-term efficacy and comparing POEM with established treatments have been initiated.About:
This article is published in The American Journal of Gastroenterology.The article was published on 2012-03-01. It has received 324 citations till now. The article focuses on the topics: Myotomy & Achalasia.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
Achalasia: A Systematic Review
TL;DR: A diagnosis of achalasia should be considered when patients present with dysphagia, chest pain, and refractory reflux symptoms after an endoscopy does not reveal a mechanical obstruction or an inflammatory cause of esophageal symptoms.
Journal ArticleDOI
Peroral Endoscopic Myotomy for the Treatment of Achalasia: An International Prospective Multicenter Study
Daniel von Renteln,Karl-Hermann Fuchs,Paul Fockens,Peter Bauerfeind,Melina C. Vassiliou,Yuki B. Werner,Gerald M. Fried,Wolfram Breithaupt,Henriette Heinrich,Albert J. Bredenoord,Jan Felix Kersten,Tessa Verlaan,Michael Trevisonno,Thomas Rösch +13 more
TL;DR: POEM was found to be an effective treatment for achalasia after a mean follow-up period of 10 months and a prospective, international, multicenter study to determine the outcomes.
Journal ArticleDOI
A Comparative Study on Comprehensive, Objective Outcomes of Laparoscopic Heller Myotomy With Per-Oral Endoscopic Myotomy (POEM) for Achalasia
Neil H. Bhayani,Ashwin A. Kurian,Christy M. Dunst,Ahmed Sharata,Erwin Rieder,Lee L. Swanstrom +5 more
TL;DR: The POEM is comparable with laparoscopic HM for safe and effective treatment of achalasia with a shorter hospitalization than HM, and patient symptoms and esophageal physiology are improved equally with both procedures.
Journal ArticleDOI
Endoscopic or Surgical Myotomy in Patients with Idiopathic Achalasia
Yuki B. Werner,Bengt Håkanson,Jan Martinek,Alessandro Repici,Burkhard H A von Rahden,Albert J Bredenoord,Raf Bisschops,Helmut Messmann,Marius C. Vollberg,Tania Noder,Jan Felix Kersten,Oliver Mann,Jakob R. Izbicki,Alexander Pazdro,Uberto Fumagalli,Riccardo Rosati,Christoph-Thomas Germer,Marlies P. Schijven,A. Emmermann,Daniel von Renteln,Paul Fockens,Guy E. Boeckxstaens,Thomas Rösch +22 more
TL;DR: Peroral endoscopic myotomy was noninferior to LHM plus Dor's fundoplication in controlling symptoms of achalasia at 2 years, and Gastroesophageal reflux was more common among patients who underwent POEM than among those who underwent LHM.
References
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Journal ArticleDOI
Peroral endoscopic myotomy (POEM) for esophageal achalasia.
Haruhiro Inoue,Hitomi Minami,Yasutoshi Kobayashi,Yuta Sato,Makoto Kaga,Michitaka Suzuki,Hitoshi Satodate,Noriko Odaka,Hiroaki Itoh,S. Kudo +9 more
TL;DR: Peroral endoscopic myotomy (POEM) was developed by as mentioned in this paper to provide a less invasive permanent treatment for esophageal achalasia, which significantly reduced the dysphagia symptom score (from mean 10 to 1.3; P = 0.0001).
Journal ArticleDOI
Pneumatic dilation versus laparoscopic Heller's myotomy for idiopathic achalasia.
Guy E. Boeckxstaens,Vito Annese,Stanislas Bruley des Varannes,Stanislas Chaussade,Mario Costantini,Antonello Cuttitta,J. Ignasi Elizalde,Uberto Fumagalli,Marianne Gaudric,Wout O. Rohof,André J.P.M. Smout,Jan Tack,Aeilko H. Zwinderman,Giovanni Zaninotto,Olivier R. Busch +14 more
TL;DR: After 2 years of follow-up, laparoscopic Heller's myotomy, as compared with pneumatic dilation, was not associated with superior rates of therapeutic success.
Journal ArticleDOI
Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis.
Guilherme M. Campos,Eric Vittinghoff,Charlotte Rabl,Mark Takata,Michael Gadenstätter,Feng Lin,Ruxandra Ciovica +6 more
TL;DR: Laroscopic myotomy with fundoplication was the most effective surgical technique and can be considered the operative procedure of choice and EBD is superior to EBTI.
Journal ArticleDOI
Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia.
Pankaj J. Pasricha,Rami Hawari,Ijaz Ahmed,J. Chen,Peter B. Cotton,Robert H. Hawes,Anthony N. Kalloo,Sergey V. Kantsevoy,Christopher J. Gostout +8 more
TL;DR: Endoscopic submucosal esophageal myotomy is feasible, safe, and effective in the short term, and has the potential for being useful in patients with achalasia.
Journal ArticleDOI
Endoscopic Therapy for Achalasia Before Heller Myotomy Results in Worse Outcomes Than Heller Myotomy Alone
TL;DR: Endoscopic therapy for achalasia should not be used unless patients are not candidates for surgery, and use of preoperative endoscopic therapy remains common and has resulted in more intraoperative complications, primarily perforation, more post operative complications, and a higher rate of failure than when no preoperative therapy was used.