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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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
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author Tanaka, Shinwa
Kawara, Fumiaki
Toyonaga, Takashi
Bechara, Robert
Hoshi, Namiko
Abe, Hirofumi
Ohara, Yoshiko
Ishida, Tsukasa
Morita, Yoshinori
Umegaki, Eiji
author_facet Tanaka, Shinwa
Kawara, Fumiaki
Toyonaga, Takashi
Bechara, Robert
Hoshi, Namiko
Abe, Hirofumi
Ohara, Yoshiko
Ishida, Tsukasa
Morita, Yoshinori
Umegaki, Eiji
author_sort Tanaka, Shinwa
collection PubMed
description 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.
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spelling pubmed-57702612018-01-17 A novel method of endoscopic-assisted esophageal clearance in advanced achalasia Tanaka, Shinwa Kawara, Fumiaki Toyonaga, Takashi Bechara, Robert Hoshi, Namiko Abe, Hirofumi Ohara, Yoshiko Ishida, Tsukasa Morita, Yoshinori Umegaki, Eiji Endosc Int Open 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. © Georg Thieme Verlag KG 2018-01 2018-01-16 /pmc/articles/PMC5770261/ /pubmed/29344565 http://dx.doi.org/10.1055/s-0043-122229 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Tanaka, Shinwa
Kawara, Fumiaki
Toyonaga, Takashi
Bechara, Robert
Hoshi, Namiko
Abe, Hirofumi
Ohara, Yoshiko
Ishida, Tsukasa
Morita, Yoshinori
Umegaki, Eiji
A novel method of endoscopic-assisted esophageal clearance in advanced achalasia
title A novel method of endoscopic-assisted esophageal clearance in advanced achalasia
title_full A novel method of endoscopic-assisted esophageal clearance in advanced achalasia
title_fullStr A novel method of endoscopic-assisted esophageal clearance in advanced achalasia
title_full_unstemmed A novel method of endoscopic-assisted esophageal clearance in advanced achalasia
title_short A novel method of endoscopic-assisted esophageal clearance in advanced achalasia
title_sort novel method of endoscopic-assisted esophageal clearance in advanced achalasia
url 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
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