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논문 기본 정보

자료유형
학술저널
저자정보
Kelly E. Hathorn (Brigham and Women’s Hospital Harvard Medical School) Walter W. Chan (Brigham and Women’s Hospital Harvard Medical School) Hiroyuki Aihara (Brigham and Women’s Hospital Harvard Medical School) Christopher C. Thompson (Brigham and Women’s Hospital Harvard Medical School)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제53권 제4호
발행연도
2020.1
수록면
443 - 451 (9page)

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초록· 키워드

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Background/Aims: Peroral endoscopic myotomy (POEM) has recently come to the forefront in the management of achalasia. Weaimed to analyze the efficacy and safety of the use of electrocautery enhanced scissors (EES) for POEM. Methods: This retrospective cohort study prospectively collected the data of all adult patients (aged ≥18 years) with normal foregutanatomy who underwent POEM using EES. The patients’ baseline characteristics and procedure details (time, tunnel length,myotomy length, depth, and location) were recorded. The primary outcome was clinical success (3-month post-procedure Eckardtscore of ≤3). The secondary outcomes were technical success and adverse events. A paired Student’s t-test was performed. Results: Fifteen patients were included in this study. The technical success rate of myotomy using EES was 100%. Fellows participatedin the myotomy in all cases. The clinical success rate was 93.3% (14/15). The mean pre-Eckardt score was 5.4±2.5, while the meanpost-Eckardt score was 1.3±1.3, which indicated a significant improvement (p≤0.0001). The most common treatment-related adverseevents were post-procedure pain (4, 26.7%) and symptomatic reflux disease (4, 26.7%). Conclusions: In the largest series to date on the use of EES in POEM, we demonstrated that this technique has both technical andclinical efficacy as well as an excellent safety profile.

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