Double-Scope Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia: The First Trial of a New Double-Scope POEM
| Autor: | Won Hee Kim, Ga Won Song, Joo Young Cho, Hee Jin Hong, Sung Pyo Hong, Weon Jin Ko, Ki Baik Hahm |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Myotomy
lcsh:Internal medicine medicine.medical_specialty Endoscope Double-scope peroral endoscopic myotomy medicine.medical_treatment Esophageal achalasia Less invasive Medicine (miscellaneous) Achalasia Case Report 03 medical and health sciences 0302 clinical medicine Medicine Radiology Nuclear Medicine and imaging Peroral endoscopic myotomy lcsh:RC799-869 lcsh:RC31-1245 Scope (project management) business.industry General surgery Gastroenterology Treatment options medicine.disease 030220 oncology & carcinogenesis Novel approach lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology business Laparoscopic Heller Myotomy |
| Zdroj: | Clinical Endoscopy Clinical Endoscopy, Vol 49, Iss 4, Pp 383-386 (2016) |
| ISSN: | 2234-2400 |
| Popis: | With the accumulation of clinical trials demonstrating its efficacy and safety, peroral endoscopic myotomy (POEM) has emerged as a less invasive treatment option for esophageal achalasia compared with laparoscopic Heller myotomy. However, the difficulty in determining the exact extent of myotomy, a critical factor associated with the success and safety of the procedure, remains a limitation. Although the various endoscopic landmarks and ancillary techniques have been applied, none of these has been proven sufficient. As a solution for this limitation, the double-scope POEM technique with a second endoscope to assure the exact length of the submucosal tunnel has been applied since 2014. Before double-scope POEM was introduced, the second endoscope was applied only to confirm the accuracy of the procedure. In the present study, we performed double-scope POEM in the treatment of esophageal achalasia through a novel procedure of simultaneous application of the second endoscope to assist in the conventional POEM procedure. |
| Databáze: | OpenAIRE |
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