AI Article Synopsis
- Peroral endoscopic myotomy (POEM) is a common treatment for esophageal achalasia but can face technical difficulties and occasional failures, including rare cases of submucosal fibrosis causing aborted procedures.
- In a case study, POEM combined with an elastic ring was successfully performed on a patient with significant submucosal fibrosis, resulting in a shorter surgery time and higher success rate.
- The study concludes that using an elastic ring during POEM is a practical and effective approach for treating achalasia associated with obvious submucosal fibrosis.
Article Abstract
Background: Peroral endoscopic myotomy (POEM) is an established treatment option for esophageal achalasia. However, technical challenges and failures exist. Submucosal fibrosis is a rare cause of aborted POEM procedures.
Case Summary: We performed POEM with an elastic ring for achalasia with obvious submucosal fibrosis. The short-term outcome was excellent, surgery time was significantly shorter, and success rate was higher with POEM for achalasia with obvious submucosal fibrosis.
Conclusion: POEM performed with an elastic ring is a feasible and effective endoscopic treatment modality for achalasia with obvious submucosal fibrosis.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724543 | PMC |
| http://dx.doi.org/10.12998/wjcc.v10.i33.12257 | DOI Listing |
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