Endoscopic Myotomy for Foregut Motility Disorders.
Gastroenterology
; 154(7): 1901-1910, 2018 May.
Article
em En
| MEDLINE
| ID: mdl-29454796
ABSTRACT
Peroral endoscopic myotomy (POEM) is an advanced endoscopic procedure classically performed for the treatment of achalasia. The procedure is based on principles of submucosal endoscopy and is composed of a mucosal incision, submucosal tunneling, myotomy, and mucosal closure. Multiple published studies that collectively include more than 6000 patients reported clinical success in more than 80% to 90% of patients. Recent literature also suggested durability of response over a medium-term follow-up. POEM is associated with a low rate of adverse events when performed by experienced operators. Gastroesophageal reflux is not infrequent after POEM but does not seem significantly different from reflux that occurs after Heller myotomy. POEM also seems to be effective in the treatment of spastic esophageal disorders (eg, jackhammer and diffuse esophageal spasm). Last, the role of gastric POEM (G-POEM) in the treatment of gastroparesis has been investigated in recent studies with promising results.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Transtornos da Motilidade Esofágica
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Esofagoscopia
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Esfíncter Esofágico Inferior
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Cirurgia Endoscópica por Orifício Natural
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article