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POEM –  new endoscopic method of oesophageal achalasia treatment


Authors: J. Martínek 1;  H. Švecová 1;  J. Špičák 1;  J. Krajčíová 1;  Z. Vacková 1;  A. Pazdro 2;  T. Haruštiak 2;  E. Kieslichová 3 ;  R. Janoušek 4;  R. Doležel 5;  L. Fremundová 6
Authors place of work: Klinika hepatogastroenterologie, Institut klinické a experimentální medicíny, Praha 1;  III. chirurgická klinika 1. LF UK a FN v Motole, Praha 2;  Klinika anesteziologie, resuscitace a intenzivní péče, Institut klinické a experimentální medicíny, Praha 3;  Pracoviště radiodia­gnostiky a intervenční radiologie, Institut klinické a experimentální medicíny, Praha 4;  Chirurgická klinika 2. LF UK a ÚVN, Praha 5;  Interní klinika LF UK a FN Plzeň 6
Published in the journal: Kardiol Rev Int Med 2014, 16(3): 205-209
Category: Internal Medicine

Summary

POEM is a promising, effective and safe method of oesophageal achalasia treatment. It is likely that POEM will become a standard and verified treatment option for achalasia. Randomized studies comparing POEM to laparoscopic myotomy or balloon dilatation are crucial and are ongoing. Since POEM is a complex and difficult procedure with a considerable risk of complications, and in view of the quite rare incidence of achalasia, it should be centralized to a maximum of two centres in the Czech Republic. In IKEM, we have performed 47 POEM procedures in 46 patients with excellent results.

Keywords:
oesophageal achalasia –  POEM


Zdroje

1. Campos GM, Vittinghoff E, Rabl C et al. Endoscopic and surgical treatments for achalasia: a systematic review and meta‑analysis. Ann Surg 2009; 249: 45– 57. doi: 10.1097/ SLA.0b013e31818e43ab.

2. Pasricha PJ, Hawari R, Ahmed I et al. Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia. Endoscopy 2007; 39: 761– 764.

3. Inoue H, Minami H, Kobayashi Y et al. Per­oral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 2010; 42: 265– 271. doi: 10.1055/ s‑ 0029‑ 1244080.

4. Von Renteln D, Fuchs KH, Fockens P et al. Peroral endoscopic myotomy for the treatment of achalasia: an international prospective multicenter study. Gastroenterology 2013; 145: 309– 311. doi: 10.1053/ j.gastro.2013.04.057.

5. Swanstrom LL, Rieder E, Dunst CM. A step­wise approach and early clinical experience in peroral endoscopic myotomy for the treatment of achalasia and esophageal motility disorders. J Am Coll Surg 2011; 213: 751– 756. doi: 10.1016/ j.jamcollsurg.2011.09.001.

6. Martínek J, Rösch T, Špičák J et al. První „POEM“ v České republice. Gastroent Hepatol 2012; 66: 475– 476.

7. Krajčíová J, Procházka R, Pintová J et al. Vzácný typ achalázie jícnu III typu řešený perorální endoskopickou myotomií (POEM). Gastroent Hepatol 2013; 67: 261– 263.

8. Inoue H, Santi EG, Onimaru M et al. Submucosal endoscopy: from ESD to POEM and beyond. Gastrointest Endosc Clin N Am 2014; 24: 257– 264. doi: 10.1016/ j.giec.2013.12.003.

Štítky
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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