Two-Person Technique of Peroral Endoscopic Myotomy for Achalasia with an Advanced Endoscopist and a Thoracic Surgeon: Initial Experience
Joint Authors
Sanaka, Madhusudhan R.
Jegadeesan, Ramprasad
Thota, Prashanthi N.
Navaneethan, Udayakumar
Lopez, Rocio
Murthy, Sudish C.
Raja, Siva
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-17
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background and Aims.
We initiated peroral endoscopic myotomy (POEM) utilizing a two-person technique with combination of an advanced endoscopist and a thoracic surgeon with complementary skills.
Our aim was to determine the feasibility and outcomes in initial 20 patients.
Methods.
In this observational study, main outcomes measured were therapeutic success in relieving symptoms (Eckardt score < 3), decrease in lower esophageal sphincter (LES) pressures, improvement in emptying on timed barium esophagogram (TBE), and complications.
Results.
POEM was successful in all 20 patients with a mean operative time of 140.1+32.9 minutes.
Eckardt symptom scores decreased significantly at two-month follow-up (6.4+2.9 versus 0.25+0.45, p<0.001).
Both basal and residual LES pressures decreased significantly (28.2+14.1 mmHg versus 12.8+6.3 and 22.4+11.3 versus 6.3+3.4 mmHg, p=0.025 and <0.001, resp.).
Barium column height at 5 minutes on TBE reduced from 6.8+4.9 cm to 2.3+2.9 cm (p=0.05).
Two patients (10%) had mucosal perforations and one had delayed bleeding (5%).
Conclusions.
Two-person technique of POEM with combination of an advanced endoscopist and a thoracic surgeon is highly successful with low risk of complications.
American Psychological Association (APA)
Sanaka, Madhusudhan R.& Jegadeesan, Ramprasad& Thota, Prashanthi N.& Navaneethan, Udayakumar& Lopez, Rocio& Murthy, Sudish C.…[et al.]. 2016. Two-Person Technique of Peroral Endoscopic Myotomy for Achalasia with an Advanced Endoscopist and a Thoracic Surgeon: Initial Experience. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099858
Modern Language Association (MLA)
Sanaka, Madhusudhan R.…[et al.]. Two-Person Technique of Peroral Endoscopic Myotomy for Achalasia with an Advanced Endoscopist and a Thoracic Surgeon: Initial Experience. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1099858
American Medical Association (AMA)
Sanaka, Madhusudhan R.& Jegadeesan, Ramprasad& Thota, Prashanthi N.& Navaneethan, Udayakumar& Lopez, Rocio& Murthy, Sudish C.…[et al.]. Two-Person Technique of Peroral Endoscopic Myotomy for Achalasia with an Advanced Endoscopist and a Thoracic Surgeon: Initial Experience. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099858
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099858