Primary research of peroral endoscopic myotomy for treatment in 27 cases esophageal achalasia of cardia

VernacularTitle:经口内镜下肌切开术治疗贲门失弛缓症的初步研究(附27例报告)
Author: Hongping LI ; Haibo WANG ; Ling WANG ; Hong WANG ; Qian LIU ; Hong WU ; Huichao WU ; Biguang TUO
Keywords: peroral endoscopic myotomy; achalasia of cardia; short-term efficacy
From: China Journal of Endoscopy 2017;23(7):39-45
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effects of peroral endoscopic myotomy (POEM) in the treatment of achalasia of cardia. Methods Clinical data of 27 cases who were diagnosed with achalasia of cardia recived POEM from May 2014 to March 2016 were collected retrospectively. The surgical results, before and after POEM, parameters measured by esophageal manometry and complications after POEM and during follow-up were analyzed. Results POEM were successful 100.0% in the 27 patients. There was 1 case of subcutaneous emphysema, 1 case of aeropleura symptoms were significantly improved in all patients who had successful POEM; parameters measured by esophageal manometry were also improved obviously (P < 0.05). Conclusion POEM has appreciable short-term effects in the treatment for achalasia of cardia, and it can be relieve dysphagia and other adverse symptoms in postoperation, but the long-term efficacy and complications need further follow-up observations.