Original Article

The last innovation in achalasia treatment; per-oral endoscopic myotomy

Volume 26 · Issue 3 Publish Date: May 15, 2015
Fatih Aslan Zehra Akpınar Emrah Alper Aynur Atay Derya Aslan Yurtlu Cem Çekiç Serhat Bor Belkis Ünsal
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Published In

Turkish Journal of Gastroenterology

Volume 26 · Issue 3

Pages: 218-223

History

Published Online: May 15, 2015

Copyright © 2015 Fatih Aslan, Zehra Akpınar, Emrah Alper, Aynur Atay, Derya Aslan Yurtlu, Cem Çekiç, Serhat Bor, Belkis Ünsal

Fatih Aslan
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Zehra Akpınar
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Emrah Alper
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Aynur Atay
Department of Anesthesiology and Reanimation, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Derya Aslan Yurtlu
Department of Anesthesiology and Reanimation, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Cem Çekiç
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Serhat Bor
Department of Gastroenterology, Ege University Faculty of Medicine, İzmir, Turkey
Belkis Ünsal
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Aslan, F., Akpınar, Z., Alper, E., Atay, A., Aslan Yurtlu, D., Çekiç, C., … Ünsal, B. (2015). The last innovation in achalasia treatment; per-oral endoscopic myotomy. Turkish Journal of Gastroenterology, 26(3), 218–223. https://doi.org/10.5152/tjg.2015.0150
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Abstract

Abstract Background/Aims: Per-oral endoscopic myotomy (POEM) is a minimally invasive endoscopic treatment option for patients with achalasia and has been performed since 2010. It is less invasive than Heller myotomy and its use is spreading rapidly worldwide. We present our results of POEM that, to the best of our knowledge, are the first cases in Turkey. Materials and Methods: We enrolled patients between May 2014 and September 2014; 8 patients with achalasia whose complaints recurred after pneumatic balloon dilatation underwent POEM. The procedure was performed under general anesthesia at the endoscopy unit of the gastroenterology clinic. Demographic data was recorded before the procedure, and the results of the procedure were recorded prospectively. Results: The median age of the patients was 42.5 (30–72) years. Preoperative and postoperative median Eckardt scores were 10 (8-12) and 1 (0-2), respectively. The median total duration of the procedure was 101 (71-158) min, and the median myotomy length was 13.5 (10–16) cm. Postoperative oral intake started on median day 1 (1-2) and the length of hospital stay was 4 (3-6) days. In 2 patients, capnoperitoneum developed during the procedure and was treated with a Veress needle. Conclusion: POEM is a safe endoscopic treatment modality for patients with achalasia in centers that are experienced in advanced endoscopic techniques.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 26 · Issue 3
Pages 218-223
DOI 10.5152/tjg.2015.0150
History
Published Online May 15, 2015
Copyright
Copyright (c) 2015 Fatih Aslan, Zehra Akpınar, Emrah Alper, Aynur Atay, Derya Aslan Yurtlu, Cem Çekiç, Serhat Bor, Belkis Ünsal
Affiliations
Fatih Aslan
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Zehra Akpınar
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Emrah Alper
Department of Gastroenterology, Katip Çelebi University, İzmir Atatürk Training and Research Hospital, İzmir, Turkey
Aynur Atay
Department of Anesthesiology and Reanimation, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Derya Aslan Yurtlu
Department of Anesthesiology and Reanimation, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Cem Çekiç
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Serhat Bor
Department of Gastroenterology, Ege University Faculty of Medicine, İzmir, Turkey
Belkis Ünsal
Department of Gastroenterology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
Cite this Article
Aslan, F., Akpınar, Z., Alper, E., Atay, A., Aslan Yurtlu, D., Çekiç, C., … Ünsal, B. (2015). The last innovation in achalasia treatment; per-oral endoscopic myotomy. Turkish Journal of Gastroenterology, 26(3), 218–223. https://doi.org/10.5152/tjg.2015.0150
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