Modified Peroral Endoscopic Myotomy Technique for Type II Achalasia: A Multicenter Retrospective Study

Autor: Huahui Zhang, Kuangjing Wang, Ying Fang, Zhe Xiong, Min Lin, Lifeng Jiang, Qiuya Niu, Jin Huang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Gastroenterology Research and Practice, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1687-630X
DOI: 10.1155/2022/3424470
Popis: Aim. This retrospective study is aimed at evaluating the outcomes of a modified peroral endoscopic myotomy (POEM) technique in patients with type II achalasia. Methods. We performed a modified POEM procedure, which involved a shorter (total myotomy length=4 cm), full-thickness myotomy, on 31 patients with type II achalasia. Clinical success rates, technical success rates, pre- and postoperative esophageal manometry results, complications, and reflux-related adverse events were evaluated. Results. The clinical success (Eckardt score≤3) rates were 100% and 88.9% within 2 years and beyond 2 years postoperatively, respectively. The median lower esophageal sphincter pressures (LESP) decreased from 31.6 (26.7-49.7) mmHg preoperatively to 13.4 (10.5-21.6) and 11.8 (7.4-16.7) mmHg (P
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje