An international study on the use of peroral endoscopic myotomy (POEM) in the management of esophageal diverticula: the first multicenter D-POEM experience.
Endoscopy
; 51(4): 346-349, 2019 04.
Article
em En
| MEDLINE
| ID: mdl-30453378
ABSTRACT
BACKGROUND:
The aim of this study is to report a novel, multicenter experience with the diverticular peroral endoscopic myotomy (D-POEM) technique in the management of esophageal diverticula.METHODS:
This is a multicenter, international, retrospective study involving three centers. D-POEM was performed using the principles of submucosal endoscopy.RESULTS:
A total of 11 patients with an esophageal diverticulum (Zenker's 7, mid-esophagus 1, epiphrenic 3) were included. The mean size of the esophageal diverticula was 34.5âmm. The overall technical success rate of D-POEM was 90.9â%, with a mean procedure time of 63.2 minutes. There were no adverse events. Clinical success was achieved in 100â% (10â/10), with a decrease in mean dysphagia score from 2.7 to 0.1 (Pâ<â0.001) during a median follow-up of 145 days (interquartile range 126â-â273).CONCLUSION:
Endoscopic management of esophageal diverticula using the novel technique of D-POEM appears promising. This first case series on D-POEM suggests that the procedure is feasible, safe, and effective in the management of esophageal diverticula. D-POEM offers the distinct advantage of ensuring a complete septotomy. Larger studies are needed to confirm these intriguing results.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esofagoscopia
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Divertículo Esofágico
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Miotomia
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article