Peroral Endoscopic Myotomy for the Treatment of Achalasia: A Clinical Comparative Study of Endoscopic Full-Thickness and Circular Muscle Myotomy

Li, Quan‐Lin; Chen, Weifeng; Zhou, Ping‐Hong; Yao, Ling; Xu, Mei‐Dong; Hu, Jianwei; Cai, Mingjun; Zhang, Yiqun; Qin, Wen‐Zheng; Zhong, Ren

doi:10.1016/j.jamcollsurg.2013.04.033

Cited by 157 publications

(114 citation statements)

References 24 publications

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“…Myotomy starts 5 cm below the mucosal incision and extends to the rest of the tunnel. Although the precise indication of the myotomy is only of the circular layer, there are studies reporting the safety of full-thickness myotomy (6). Closure of the mucosal incision is safely performed with endoclips, usually in number of 4 ( Figure 1).…”

Section: Poem Techniquementioning

confidence: 99%

The impact of flexible endoscopy in esophageal surgery

et al. 2017

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Achalasia and Treatment of esophageal Adenocarcinoma are commonly associated to surgical resection. Newer technologies in interventional endoscopy gave way to a substantial paradigm shift in the management of these conditions. In the case of achalasia, endoscopic myotomy is rapidly displacing Heller's myotomy as the gold standard in many centers. Early stage neoplasia in Barrett's esophagus (BE) comprising high-grade dysplasia (HGD), intramucosal and, in some cases, submucosal carcinoma is now being treated without the need of esophagectomy. This review presents a summary of the most relevant endoscopic techniques for both achalasia and esophageal cancer. Endoscopic advances in diagnostic and therapeutic arenas allow for minimally invasive therapies and organ preservation in most settings of achalasia and early stage neoplasia of the esophagus provided that the clinical setting and physician's expertise are prepared for this approach.

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Section: Poem Techniquementioning

confidence: 99%

The impact of flexible endoscopy in esophageal surgery

et al. 2017

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“…The procedure is also considered to be simpler and faster (18). A retrospective study comparing the outcomes of full-thickness and circular muscle myotomy showed the mean operative time was significantly shorter in the full-thickness group and there was no increase in procedural related adverse event (28).…”

Section: Full Thickness Vs Circular Muscle Myotomymentioning

confidence: 99%

Peroral endoscopic myotomy (POEM) for treating esophageal motility disorders

Wong¹,

Law²

2017

Ann. Transl. Med.

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“…Other equipment and the POEM procedure have been reported in detail in previous papers (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). After careful hemostasis, a copious amount of saline is sprayed into the submucosal tunnel.…”

Section: Poem Proceduresmentioning

confidence: 99%

“…Peroral endoscopic myotomy (POEM) has been developed as a minimally invasive endoscopic treatment and provides a curative method for esophageal achalasia. It has become widely accepted because of its general perioperative safety and excellent short-term outcomes in terms of symptom resolution and improvement in esophagogastric junction (EGJ) physiology (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%