Clinical study of 63 cases of achalasia treated by peroral endoscopic myotomy

VernacularTitle:经口内镜下肌切开术治疗贲门失弛缓症63例临床分析
Author: Lianjun MA ¹ ; Shujun YE ; Changfeng LI ; Xiangbo MENG ; Yang LIU ; Bin ZHANG
Author Information

1. 吉林大学中日联谊医院胃肠内科（内镜中心），长春　130033
Keywords: Esophageal achalasia; Cardia; Peroral endoscopic myotomy; Curative effect
From: Chinese Journal of Digestive Endoscopy 2023;40(8):648-651
CountryChina
Language:Chinese
Abstract: In order to evaluate the efficacy of peroral endoscopic myotomy (POEM) for achalasia, data of 63 patients with achalasia who were treated with POEM in China-Japan Union Hospital of Jilin University from 2017 to 2021 were collected. Postoperative Eckardt score, high-resolution manometry and upper gastrointestinal radiography were compared with preoperative data. The mean age of the 63 patients was 49.0 years, and there were 31 famales. The preoperative Eckardt score was 9 (3), and the postoperative Eckardt score was 2 (2), with significant difference ( V=1 953, P<0.001). The lower esophageal sphincter pressure decreased significantly after operation compared with that before operation [9.90 (3.35) mmHg VS 26.80（13.85）mmHg， V=2 016, P<0.001]. Fifty-three patients (84.1%) had satisfactory curative effects. The incidence of adverse events was 3.2% (2/63). POEM is safe, effective and minimally invasive for the treatment of achalasia.