Open peroral endoscopic myotomy (O-POEM) for the treatment of achalasia

Summary With the development of endoscopic interventions and inspired by the success of peroral endoscopic myotomy (POEM) for the treatment of achalasia, we investigated an old method of direct peroral endoscopic myotomy without a submucosal tunnel for the treatment of achalasia, which we call open...

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Bibliographic Details
Published in:Diseases of the esophagus 2017-10, Vol.30 (10), p.1-2
Main Authors: Liu, W., Zeng, H.-Z., Chen, H.-L., Wu, C.-C., Ye, L.-S., Hu, B.
Format: Article
Language:English
Subjects:
Adult
Endoscopy, Gastrointestinal - methods
Esophageal Achalasia - surgery
Heller Myotomy - methods
Humans
Male
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Summary:Summary With the development of endoscopic interventions and inspired by the success of peroral endoscopic myotomy (POEM) for the treatment of achalasia, we investigated an old method of direct peroral endoscopic myotomy without a submucosal tunnel for the treatment of achalasia, which we call open peroral endoscopic myotomy (O-POEM). In this study, Clinical success was achieved in the patient after O-POEM. A reduction of LES pressure, Eckardt score, and a timed barium esophagogram were observed during follow-up. There were no severe complications and no recurrences during two months of follow-up. Therefore, open peroral endoscopic myotomy is a feasible and effective endoscopic treatment modality for achalasia. However, long-term outcomes of O-POEM requires further follow-up.
ISSN:1120-8694
1442-2050
DOI:10.1093/dote/dox070