Gastrointestinal: Peroral endoscopic myotomy for distal esophageal spasm

2017 ◽  
Vol 32 (9) ◽  
pp. 1536-1536 ◽  
Author(s):  
X Tang ◽  
Y Ren ◽  
S Huang ◽  
X Zhang ◽  
W Gong
2020 ◽  
Vol 8 (5) ◽  
pp. 927-928
Author(s):  
Yuusaku Sugihara ◽  
Hiroyuki Sakae ◽  
Kenta Hamada ◽  
Hiroyuki Okada

2017 ◽  
Vol 10 (5) ◽  
pp. 442-446 ◽  
Author(s):  
Koji Otani ◽  
Shinwa Tanaka ◽  
Fumiaki Kawara ◽  
Junichi Fujikawa ◽  
Akinari Sawada ◽  
...  

2017 ◽  
Vol 05 (07) ◽  
pp. E663-E669 ◽  
Author(s):  
Shinwa Tanaka ◽  
Takashi Toyonaga ◽  
Fumiaki Kawara ◽  
Ian Grimm ◽  
Namiko Hoshi ◽  
...  

Abstract Background and study aims Peroral endoscopic myotomy (POEM) is an evolving new treatment strategy for achalasia. Although several kinds of electrosurgical knives have been used in performing POEM, the best device has yet to be determined. The FlushKnife BT is a waterjet-emitting short needle-knife with a small ball tip (BT) that offers the potential to perform all aspects of POEM with a single device. In this study, we evaluated the safety and efficiency of the FlushKnife BT for POEM. Patients and methods A total of 54 consecutive patients with achalasia and other spastic esophageal motility disorders, such as jackhammer esophagus or distal esophageal spasm, who underwent POEM between January 2016 and August 2016, were included in this retrospective study. Results The median operation time was 73.0 minutes (range 39 – 184 minutes). All procedures were completed using only the FlushKnife BT without changing to any other electrosurgical instrument. The median number of additional submucosal injections with an injection needle was 0 (range 0 – 1). Endoscopic vessel sealing was performed a mean of 3 times (range 0 – 7). The median number of bleeding episodes requiring treatment with hemostatic forceps was 0 (range 0 – 5). There were no significant adverse events. Seven of 52 patients (13.5 %) reported symptoms of gastroesophageal reflux disease such as heartburn or acid reflux at 3 month follow-up. Conclusions The FlushKnife BT enabled POEM to be performed with very few device exchanges, either for re-injection or to control intraoperative bleeding. In this uncontrolled case series, the ability of the FlushKnife BT to perform nearly all aspects of the POEM procedure seems to make it particularly well suited to this procedure.


Endoscopy ◽  
2014 ◽  
Vol 46 (S 01) ◽  
pp. E79-E81 ◽  
Author(s):  
H. Minami ◽  
H. Isomoto ◽  
N. Yamaguchi ◽  
K. Ohnita ◽  
F. Takeshima ◽  
...  

2013 ◽  
Vol 77 (1) ◽  
pp. 149-150 ◽  
Author(s):  
Hironari Shiwaku ◽  
Haruhiro Inoue ◽  
Richiko Beppu ◽  
Ryo Nakashima ◽  
Hitomi Minami ◽  
...  

Esophagus ◽  
2019 ◽  
Vol 17 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Jie Feng ◽  
Raja Waqar Ali ◽  
Jin-yong Hao ◽  
Gui-xiang Kong ◽  
Li-hong Yang ◽  
...  

Abstract Background Esophageal motility disorders which include achalasia, esophagogastric junction outflow obstruction (EGJ outflow obstruction), jackhammer esophagus (JE), distal esophageal spasm (DES), etc. are rare disease of unknown causes. The diagnosis is based on endoscopy, barium meal, and high-resolution manometry (HRM). With the development of endoscopy, peroral endoscopic myotomy (POEM) has emerged as a standard method for the treatment of achalasia. Purpose The purpose of this article is to enable gastroenterologists to have a more comprehensive understanding of the application status, technical characteristics, clinical efficacy and future prospect of POEM in the treatment of esophageal motility disorders. Methods Through a large number of reading literature, combined with clinical practice, summary and analysis of the indications, procedure, efficacy, complications, and controversies of POEM in the treatment of esophageal motility disorders, as well as the current and future perspectives of POEM were studied. Results POEM is safe and effective in the treatment of esophageal motility disorders, but the GERD reflux rate is higher. Conclusions POEM can be a new option for the treatment of esophageal movement disorders, but large sample, multi-center, long-term study reports are needed, and it promotes the development of NOTES technology.


2018 ◽  
Vol 53 (3) ◽  
pp. 252-255 ◽  
Author(s):  
Fraukje Anna-Marie Ponds ◽  
André J.P.M. Smout ◽  
Paul Fockens ◽  
Albert J. Bredenoord

2012 ◽  
Vol 107 (12) ◽  
pp. 1926-1927 ◽  
Author(s):  
Hubert Louis ◽  
Angélique Covas ◽  
Emmanuel Coppens ◽  
Jacques Devière

2017 ◽  
Author(s):  
P Miranda García ◽  
JA Moreno Monteagudo ◽  
F De La Morena Lopez ◽  
J Mendoza Jimenez-Ridruejo ◽  
C Santander Vaquero

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