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STUDY DESIGN: We retrospectively collected data on children treated for achalasia over an 11-year period from eight tertiary pediatric centers in order to compare the effectiveness and complications of the two main treatments for achalasia. Treatment success was a priori defined as clinical advancement and no need for new therapy. Hydrostatic dilatation was as fruitful as pneumatic dilatation. Peroral endoscopic myotomy as an alternative therapy to Heller's myotomy is discussed here.
Source link: https://europepmc.org/article/MED/35853483
Background information The long-term effects of esophageal peroral endoscopic myotomy surgery are also uncertain. Methods We searched electronic databases for studies assessing the effects of POEM for esophageal achalasia, with a minimum median follow-up duration of 36 months. The symptomatic reflux pooled rate was 22. 0%. Peptic strictures and one Barrett's esophagus were reported in three instances. The incidence of severe adverse events in Poole was 1. 55 percent. In nearly 80% of patients with achalasia, long-term medical efficacy of POEM persists. The post-POEM symptomatic reflux appears to have remained stable over time, according to a recent study by Post-POEM. Barrett's esophagus and peptic strictures seem to be negligible.
Source link: https://europepmc.org/article/MED/35798336
Objectives/goals We investigated the clinical relevance and prognostic value of functional luminal imaging probe panometry in patients with peroral endoscopic myotomy and achalasia treated with peroral endoscopic myotomy, as well as the presence of contractility following POEM and determination of contractility following POEM. Methods We reviewed the electronic medical records of patients with achalasia treated with FLIP panometry and POEM at a tertiary teaching hospital in Seoul, Republic of Korea, according to Methods. with a retrograde contractile response; REO with an absent workforce; REO with a normal workplace response; and a retrograde contractile reaction; and a retrograde contractile response ; and a retrograde contractile response. Conclusion Although FLIP panometry was not directly connected to clinical course of achalasia, FRP panometry was linked to POC after POEM, and it may supplement manometry in the functional assessment of esophageal motility disorders.
Source link: https://europepmc.org/article/MED/35799241
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