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A novel method of endoscopic-assisted esophageal clearance in advanced achalasia

BACKGROUND AND STUDY AIMS : In order to perform peroral endoscopic myotomy (POEM) safely, retained liquid and food debris must be removed before the procedure is started. We developed a novel technique using a super-slim gastroscope, and a gastric tube to remove retained food debris in achalasia pat...

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Detalles Bibliográficos
Autores principales: Tanaka, Shinwa, Kawara, Fumiaki, Toyonaga, Takashi, Bechara, Robert, Hoshi, Namiko, Abe, Hirofumi, Ohara, Yoshiko, Ishida, Tsukasa, Morita, Yoshinori, Umegaki, Eiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770261/
https://www.ncbi.nlm.nih.gov/pubmed/29344565
http://dx.doi.org/10.1055/s-0043-122229
Descripción
Sumario:BACKGROUND AND STUDY AIMS : In order to perform peroral endoscopic myotomy (POEM) safely, retained liquid and food debris must be removed before the procedure is started. We developed a novel technique using a super-slim gastroscope, and a gastric tube to remove retained food debris in achalasia patients. In this study, the safety and efficacy of this novel technique were investigated PATIENTS AND METHODS : Eleven patients with achalasia were enrolled in this study and underwent this novel method for esophageal clearance. RESULTS:  All patients had complete clearance of the retained food debris using this method. The median procedure time (range) was 13 (6 – 30) minutes. There were no serious adverse events (AEs) and one minor AE of mucosal erythema due to mucosal suctioning. CONCLUSION:  This novel method for esophageal clearance is safe and effective in achalasia patients with large amounts of retained food debris.