Miotomía endoscópica peroral para el tratamiento de acalasia y otros trastornos motores del esófago. Resultados a corto y mediano plazo en un centro de referencia en México

@article{HernndezMondragn2019MiotomaEP,
  title={Miotom{\'i}a endosc{\'o}pica peroral para el tratamiento de acalasia y otros trastornos motores del es{\'o}fago. Resultados a corto y mediano plazo en un centro de referencia en M{\'e}xico},
  author={{\'O}scar V{\'i}ctor Hern{\'a}ndez-Mondrag{\'o}n and O. M. Sol{\'o}rzano-Pineda and Marta Gonz{\'a}lez-Mart{\'i}nez and Juan M. Blancas-Valencia and Carmen Caballero-Luengas},
  journal={Revista de Gastroenterolog{\'i}a de M{\'e}xico},
  year={2019}
}
2 Citations

References

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Evaluar la evolucion postoperatoria inmediata y morbimortalidad en 328 pacientes con acalasia sometidos a tratamiento quirurgico en un periodo...
A Comparative Study on Comprehensive, Objective Outcomes of Laparoscopic Heller Myotomy With Per-Oral Endoscopic Myotomy (POEM) for Achalasia
TLDR
The POEM is comparable with laparoscopic HM for safe and effective treatment of achalasia with a shorter hospitalization than HM, and patient symptoms and esophageal physiology are improved equally with both procedures.
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TLDR
The results confirm the efficacy of POEM in a large series of patients, with a mean follow-up of 11 months, and may become one of the first-line therapies of achalasia in the next future.
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TLDR
POEM appears to be safe and effective based on the large body of current evidence, and warrants consideration as first-line therapy when an expert operator is available.
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TLDR
Laparoscopic Heller myotomy provides significant improvement in dysphagia and regurgitation symptoms in achalasia patients regardless of the type of partial fundoplication.
Very Late Results of Esophagomyotomy for Patients With Achalasia: Clinical, Endoscopic, Histologic, Manometric, and Acid Reflux Studies in 67 Patients for a Mean Follow-up of 190 Months
TLDR
In patients with achalasia submitted to esophagomyotomy and Dor's antireflux procedure, there is a progressive clinical deterioration of initially good results if a very long follow-up is performed (23 years after surgery), mainly due to an increase in pathologic acid reflux disease and the development of short- or long-segment Barrett esophagus.
Peroral Endoscopic Myotomy for Treatment of Achalasia: Initial Results of a Korean Study
TLDR
Both the clinical score of achalasia, as well as the resting lower esophageal sphincter pressure, were significantly reduced after POEM, and the authors believe that POEM is a feasible, safe, and effective treatment and may possibly substitute established treatments of refractory a Chalasia.
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TLDR
The short-term outcome ofPOEM for achalasia was excellent; further studies on long-term efficacy and on comparison of POEM with other interventional therapies are awaited.
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This is the first report of the use of cyanoacrylate glue to seal mucosal defects during or after POEM in order to prevent leakage of esophageal contents into the tunnel, mediastinum or peritoneum.
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