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논문 기본 정보

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학술저널
저자정보
Pankaj N. Desai (Department of Endoscopy & Endosonography Surat Institute of Digestive Sciences (SIDS) Surat Ind) Chintan N. Patel (Department of Endoscopy & Endosonography Surat Institute of Digestive Sciences (SIDS) Surat Ind) Mayank V. Kabrawala (Department of Endoscopy & Endosonography Surat Institute of Digestive Sciences (SIDS) Surat Ind) Rajiv M. Mehta (Department of Gastroenterology Surat Institute of Digestive Sciences (SIDS) Surat India) Subhash K. Nandwani (Department of Gastroenterology Surat Institute of Digestive Sciences (SIDS) Surat India) Ritesh M. Prajapati (Department of Gastroenterology Surat Institute of Digestive Sciences (SIDS) Surat India) Nisharg B. Patel (Department of Gastroenterology Surat Institute of Digestive Sciences (SIDS) Surat India) Krishna K. Parekh (Department of Clinical Research Surat Institute of Digestive Sciences (SIDS) Surat India)
저널정보
소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제10권 제1호
발행연도
2021.1
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6 - 11 (6page)

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Background: Having a clean esophagus is an integral part of the peroral endoscopic myotomy (POEM) procedure for ensuring safety and success. Conventional preparation is a tricky, because there is no defined definite timeline of fasting for the different types of achalasia. The present study introduces a simple yet effective preparation of esophageal clearance. Methods: All patients who underwent POEM were included. Patients were stratified in novel and conventional preparation groups by a random selection. In the novel preparation, the cases were maintained on lukewarm water and carbonated drink followed by nil per oral (NPO) prior to the procedure. In conventional preparation, the controls were maintained on clear liquid followed by NPO. Success rate of preparation and procedure related outcomes were compared using independent t tests and chi-squared tests. Results: A total of 150 patients (male 54.0%; mean age 41.2 ± 15.5 years) were included in the study. Known baseline and clinical factors which could affect esophageal clearance were evenly distributed between the two groups. Novel preparation had provided absolute esophageal clearance (97.3%) without the requirement of pre-POEM endoscopic cleaning. Moreover, Novel preparation demonstrates several advantages over the conventional preparation: decreased anesthesia aspiration risk (P < 0.0001), reduced preoperative hospitalization (P < 0.0001), and hospital stays (P < 0.005). Conclusion: Evidently, the novel preparation is very simple, efficient, safe and appropriate for all types of achalasia. Moreover, novel preparation provides absolute esophageal clearance without requiring prolonged period of liquid diet, fasting and pre-POEM endoscopic cleaning.
#Achalasia cardia #Esophagus #Peroral endoscopic myotomy

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참고문헌 (8)

참고문헌 신청
Eleftheriadis N / 2012 / Training in peroral endoscopic myotomy (POEM) for esophageal achalasia / Ther Clin Risk Manag 8:329~342 google schola 윤영훈 / 2016 / Peroral Endoscopic Myotomy for Treating Achalasia and Esophageal Motility Disorders / Journal of Neurogastroenterology and Motility (JNM) 22(1):14~24 dbpia 박무인 / 2012 / Hot Water Swallows May Improve Symptoms in Patients With Achalasia / Journal of Neurogastroenterology and Motility (JNM) 18(4):355~356 google schola Yutang Ren / 2012 / Response of Esophagus to High and Low Temperatures in Patients With Achalasia / Journal of Neurogastroenterology and Motility (JNM) 18(4):391~398 dbpia Koumi A / 2010 / Oesophageal food impaction in achalasia treated with CocaCola and nifedipine / BMJ Case Rep 2010 google schola

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