Publications by authors named "Juan C Carames"
Background: Endoscopic sleeve gastroplasty (ESG) is an incisionless procedure that reduces the size of the gastric cavity. In prior studies, it has been proven to be a safe and effective treatment for obesity. In this study, we performed a collaborative study to evaluate the effectiveness of ESG among new endobariatric programs.
View Article and Find Full Text PDFBackground And Aim: Gastroparesis is a potentially debilitating gastric motility disorder with limited treatment options. Highest efficacy treatments include gastric per-oral endoscopic myotomy (GPOEM) and surgical pyloromyotomy. This study compares the efficacy and safety of GPOEM versus laparoscopic pyloromyotomy for refractory gastroparesis.
View Article and Find Full Text PDFBackground/aims: Peroral endoscopic myotomy (POEM) has been increasingly used for achalasia in Latin America, where Chagas disease is prevalent, and this makes POEM more challenging. The aim of this study was to determine the learning curve for POEM in Latin America.
Methods: Patients undergoing POEM in Latin America with a single operator were included from a prospective registry over 4 years.
Article Synopsis
- Both Heller myotomy (HM) and per-oral endoscopic myotomy (POEM) are effective treatments for achalasia, a condition that affects swallowing.
- A study involving 133 patients from nine Latin American centers showed that POEM had a higher initial success rate than HM, and both treatments significantly reduced the Eckardt score, which measures symptoms.
- In Chagas disease patients, POEM was notably more effective than HM, resulting in a greater drop in the Eckardt score and shorter hospital stays for those undergoing the procedure.
Background: Per-oral endoscopic myotomy (POEM) has become the preferred alternative treatment to standard Heller myotomy for patients with esophageal achalasia, in Latin American countries. The aim of our study was to evaluate the efficacy and safety of a POEM in the management of achalasia with and without Chagas disease in patients receiving POEM.
Methods: Patients who underwent POEM from tertiary centers in Latin America were included in a dedicated registry.