Comparison of clinical effect between peroral endoscopic myotomy and Heller myotomy for achalasia
10.3969/j.issn.1007-1989.2017.06.003
- VernacularTitle:经口内镜下肌切开术与经胸Heller术治疗贲门失弛缓症的临床疗效对比
- Author:
Lina CHENG
;
Hongwei WANG
;
Fan YANG
;
Hui YANG
;
Xiuqi WANG
;
Shuangyin HAN
;
Bingxi ZHOU
- Keywords:
esophageal achalasia;
peroral endoscopic myotomy;
heller myotomy;
clinical effect
- From:
China Journal of Endoscopy
2017;23(6):12-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect and safety of peroral endoscopic myotomy (POEM) with surgical therapy in treatment of esophageal achalasia. Methods 78 patients diagnosed as esophageal achalasia from January 2012 to October 2014 were enrolled in the study and divided into POME group and Heller group. There were 42 patients in POEM group and 36 patients in Heller group. The clinical symptom remission rate, LES resting pressure, Eckardt scores, complication rate, length of hospital stay and the hospitalization expenses were analyzed between the two groups. Results The patients in POEM group and Heller group both got clinical remissions after the treatment. There was no statistical difference in the rate of complication occurrence, Eckardt scores and LES resting pressure between the two groups. Patients in POEM group had shorter operation time, hospital stay and less expenses compared with the Heller group. Conclusions Compared with Heller group, the POEM group has the similar curative effect in treatment of esophageal achalasia. The POEM as a minimally invasive surgery has the advantages of less pain and trauma, shorter hospital stay, well tolerated and low cost. Therefore, the POEM is worth to be popularized and applied in treating esophageal achalasia.
