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Original Article

Per-oral endoscopic myotomy for achalasia. Are results comparable to laparoscopic Heller myotomy?

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Pages 505-512 | Received 14 May 2014, Accepted 10 Jun 2014, Published online: 24 Feb 2015

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Helge Evensen, Milada Cvancarova Småstuen, Anselm Schulz, Vendel Kristensen, Lene Larssen, Jorunn Skattum, Olav Sandstad, Truls Hauge & Asle W. Medhus. (2021) One year comprehensive prospective follow-up of achalasia patients after peroral endoscopic myotomy. Annals of Medicine 53:1, pages 2227-2235.
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Articles from other publishers (43)

Adam North & Nilanjana Tewari. (2023) Peroral endoscopic myotomy compared to laparoscopic Heller myotomy and pneumatic dilation in the treatment of achalasia: a systematic review. Diseases of the Esophagus.
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Lena Shally, Kashif Saeed, Derek Berglund, Mark Dudash, Katie Frank, Vladan N. Obradovic, Anthony T. Petrick, David L. Diehl, Jon D. Gabrielsen & David M. Parker. (2022) Clinical and financial outcomes of per-oral endoscopic myotomy compared to laparoscopic heller myotomy for treatment of achalasia. Surgical Endoscopy 37:7, pages 5526-5537.
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Mohamad Rassoul Abu-Nuwar, Sven E Eriksson, Inanc S Sarici, Ping Zheng, Toshitaka Hoppo, Blair A Jobe & Shahin Ayazi. (2022) GERD after Peroral Endoscopic Myotomy: Assessment of Incidence and Predisposing Factors. Journal of the American College of Surgeons 236:1, pages 58-70.
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S. Niño-Ramírez, O. Ardila, F.H. Rodríguez, J. Londoño, S. Pérez, S. Sánchez, J. Camargo & L.G. Guevara-Casallas. (2023) Major adverse events related to endoscopic or laparoscopic procedures in achalasia. A systematic review and meta-analysis. Revista de Gastroenterología de México (English Edition) 88:1, pages 36-43.
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S. Niño-Ramírez, O. Ardila, F.H. Rodríguez, J. Londoño, S. Pérez, S. Sánchez, J. Camargo & L.G. Guevara-Casallas. (2023) Eventos adversos mayores relacionados con procedimientos endoscópicos o laparoscópicos en acalasia. Revisión sistemática y metaanálisis. Revista de Gastroenterología de México 88:1, pages 36-43.
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Ashish Gandhi, Jay Bapaye & Amol Bapaye. (2023) Indications and Outcomes of Per Oral Endoscopic Myotomy from Mouth to Anus. Gastrointestinal Endoscopy Clinics of North America 33:1, pages 99-125.
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Tadateru Maehata, Yoshinori Sato, Yusuke Nakamoto, Masaki Kato, Akiyo Kawashima, Hirofumi Kiyokawa, Hiroshi Yasuda, Hiroyuki Yamamoto & Keisuke Tateishi. (2022) Updates in the Field of Submucosal Endoscopy. Life 13:1, pages 104.
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Helge Evensen, Marianne Jensen Hjermstad, Milada Cvancarova, Vendel Kristensen, Lene Larssen, Jorunn Skattum, Truls Hauge, Olav Sandstad & Asle W. Medhus. (2022) Quality of life in patients with achalasia: Associations with Eckardt score and objective treatment outcomes after peroral endoscopic myotomy. Endoscopy International Open 10:12, pages E1570-E1576.
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Angelo So Taa Kum, Diogo Turiani De Moura, Igor Mendonça Proença, Masanori Aikawa, Sergio A Sánchez-Luna, Igor Braga Ribeiro, João Guilherme Ribeiro Jordão Sasso, Alexandre Moraes Bestetti, Wanderley Marques Bernardo & Eduardo G Hourneaux de Moura. (2022) Gastroesophageal Reflux Waning Over Time in Endoscopic Versus Surgical Myotomy for the Treatment of Achalasia: A Systematic Review and Meta-Analysis. Cureus.
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Eduardo Turiani Hourneaux de Moura, José Jukemura, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Aureo Augusto de Almeida Delgado, Lara Meireles Azeredo Coutinho, Diogo Turiani Hourneaux de Moura, Rubens Antonio Aissar Sallum, Ary Nasi, Sergio A Sánchez-Luna, Paulo Sakai & Eduardo Guimarães Hourneaux de Moura. (2022) Peroral endoscopic myotomy vs laparoscopic myotomy and partial fundoplication for esophageal achalasia: A single-center randomized controlled trial . World Journal of Gastroenterology 28:33, pages 4875-4889.
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Zaheer Nabi & D Nageshwar Reddy. (2021) Third-Space Endoscopy: Recent Updates. Journal of Digestive Endoscopy 12:03, pages 160-166.
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Andrew Ofosu, Babu P. Mohan, Yervant Ichkhanian, Maen Masadeh, John Febin, Mohamed Barakat, Daryl Ramai, Saurabh Chandan, Gulara Haiyeva, Shahab R. Khan, Mohamad Aghaie Meybodi, Antonio Facciorusso, Alessandro Repici, Sachin Wani, Nirav Thosani & Mouen A. Khashab. (2021) Peroral endoscopic myotomy (POEM) vs pneumatic dilation (PD) in treatment of achalasia: A meta-analysis of studies with ≥ 12-month follow-up. Endoscopy International Open 09:07, pages E1097-E1107.
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Zacharie Cloutier, Aneetinder Mann, Aristithes G. Doumouras & Dennis Hong. (2020) Same-day discharge is safe and feasible following POEM surgery for esophageal motility disorders. Surgical Endoscopy 35:7, pages 3398-3404.
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Marc A. Ward, Jessica S. Clothier, Ahmed Ebrahim, Gerald O. Ogola & Steven G. Leeds. (2020) Comparison of Objective Intermediate-Term Outcomes Between per-Oral Endoscopic Myotomy and Laparoscopic Heller Myotomy Show Equivalence. Surgical Innovation 28:3, pages 295-302.
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Zaheer Nabi, Mohan Ramchandani & D. Nageshwar Reddy. (2021) Optional Management of Achalasia in 2021: Dilatation or Myotomy. Journal of Digestive Endoscopy 12:02, pages 093-102.
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Rebecca C. Dirks, Geoffrey P. Kohn, Bethany Slater, Jake Whiteside, Noe A. Rodriguez, Salvatore Docimo, Aurora Pryor & Dimitrios Stefanidis. (2021) Is peroral endoscopic myotomy (POEM) more effective than pneumatic dilation and Heller myotomy? A systematic review and meta-analysis. Surgical Endoscopy 35:5, pages 1949-1962.
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Alexander J. Podboy, Joo Ha Hwang, Homero Rivas, Dan Azagury, Mary Hawn, James Lau, Afrin Kamal, Shai Friedland, George Triadafilopoulos, Thomas Zikos & John O. Clarke. (2020) Long-term outcomes of per-oral endoscopic myotomy compared to laparoscopic Heller myotomy for achalasia: a single-center experience. Surgical Endoscopy 35:2, pages 792-801.
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Kelly E. Hathorn, Walter W. Chan, Hiroyuki Aihara & Christopher C. Thompson. (2020) Determining the Safety and Effectiveness of Electrocautery Enhanced Scissors for Peroral Endoscopic Myotomy (with Video). Clinical Endoscopy 53:4, pages 443-451.
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Rafael Krieger MARTINS, Igor Braga RIBEIRO, Diogo Turiani Hourneaux DE MOURA, Kelly E HATHORN, Wanderley Marques BERNARDO & Eduardo Guimarães Hourneaux DE MOURA. (2020) PERORAL (POEM) OR SURGICAL MYOTOMY FOR THE TREATMENT OF ACHALASIA: A SYSTEMATIC REVIEW AND META-ANALYSIS. Arquivos de Gastroenterologia 57:1, pages 79-86.
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Amol Bapaye, Sravan K. Korrapati, Siddharth Dharamsi & Nachiket Dubale. (2020) Third Space Endoscopy. Journal of Clinical Gastroenterology 54:2, pages 114-129.
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Alberto AiolfiDavide BonaCarlo Galdino RivaGiancarlo MichelettoEmanuele RausaGiampiero CampanelliGiorgia OlmoGianluca BonittaLuigi Bonavina. (2020) Systematic Review and Bayesian Network Meta-Analysis Comparing Laparoscopic Heller Myotomy, Pneumatic Dilatation, and Peroral Endoscopic Myotomy for Esophageal Achalasia. Journal of Laparoendoscopic & Advanced Surgical Techniques 30:2, pages 147-155.
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Mouen A. Khashab, Marcelo F. Vela, Nirav Thosani, Deepak Agrawal, James L. Buxbaum, Syed M. Abbas Fehmi, Douglas S. Fishman, Suryakanth R. Gurudu, Laith H. Jamil, Terry L. Jue, Bijun Sai Kannadath, Joanna K. Law, Jeffrey K. Lee, Mariam Naveed, Bashar J. Qumseya, Mandeep S. Sawhney, Julie Yang & Sachin Wani. (2020) ASGE guideline on the management of achalasia. Gastrointestinal Endoscopy 91:2, pages 213-227.e6.
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Sun-Jin Boo. (2020) Comparison of Peroral Endoscopic Myotomy and Laparoscopic Heller's Myotomy for Treatment of Idiopathic Achalasia: A Prospective, Multicenter, Randomized Study. The Korean Journal of Gastroenterology 75:1, pages 60.
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Yuki B. WernerBengt HakansonJan MartinekAlessandro RepiciBurkhard H.A. von RahdenAlbert J. BredenoordRaf BisschopsHelmut MessmannMarius C. VollbergTania NoderJan F. KerstenOliver MannJakob IzbickiAlexander PazdroUberto FumagalliRiccardo RosatiChristoph-Thomas GermerMarlies P. SchijvenAlice EmmermannDaniel von RentelnPaul FockensGuy BoeckxstaensThomas Rösch. (2019) Endoscopic or Surgical Myotomy in Patients with Idiopathic Achalasia. New England Journal of Medicine 381:23, pages 2219-2229.
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Chan Hyuk Park, Da Hyun Jung, Do Hoon Kim, Chul-Hyun Lim, Hee Seok Moon, Jung Ho Park, Hye-Kyung Jung, Su Jin Hong, Suck Chei Choi & Oh Young Lee. (2019) Comparative efficacy of per-oral endoscopic myotomy and Heller myotomy in patients with achalasia: a meta-analysis. Gastrointestinal Endoscopy 90:4, pages 546-558.e3.
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Pravin R. Suryawanshi & Ashok R. Mohite. (2018) POEM for Treatment of Achalasia: Our Early Experience and Technical Details of the Procedure. Indian Journal of Surgery 81:5, pages 452-456.
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Mari Yamashita-Ichimura, Emiko Toyama, Makoto Sasoh, Hironari Shiwaku, Kanefumi Yamashita, Yuichi Yamashita & Ken Yamaura. (2018) Bladder pressure monitoring and CO2 gas-related adverse events during per-oral endoscopic myotomy. Journal of Clinical Monitoring and Computing 32:6, pages 1111-1116.
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G Zaninotto, C Bennett, G Boeckxstaens, M Costantini, M K Ferguson, J E Pandolfino, M G Patti, U RibeiroJrJr, J Richter, L Swanstrom, J Tack, G Triadafilopoulos, S R Markar, R Salvador, L Faccio, N A Andreollo, I Cecconello, G Costamagna, J R M da Rocha, E S Hungness, P M Fisichella, K H Fuchs, I Gockel, R Gurski, C P Gyawali, F A M Herbella, R H Holloway, M Hongo, B A Jobe, P J Kahrilas, D A Katzka, K S Dua, D Liu, A Moonen, A Nasi, P J Pasricha, R Penagini, S Perretta, R A A Sallum, G Sarnelli, E Savarino, F Schlottmann, D Sifrim, N Soper, R P Tatum, M F Vaezi, M van Herwaarden-Lindeboom, T Vanuytsel, M F Vela, D I Watson, F Zerbib, S Gittens, C Pontillo, S Vermigli, D Inama & D E Low. (2018) The 2018 ISDE achalasia guidelines. Diseases of the Esophagus 31:9.
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Alessandro Repici, Lorenzo Fuccio, Roberta Maselli, Fabrizio Mazza, Loredana Correale, Daniele Mandolesi, Cristina Bellisario, Amrita Sethi, Mouen A. Khashab, Thomas Rösch & Cesare Hassan. (2018) GERD after per-oral endoscopic myotomy as compared with Heller’s myotomy with fundoplication: a systematic review with meta-analysis. Gastrointestinal Endoscopy 87:4, pages 934-943.e18.
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Francisco Schlottmann, Daniel J. Luckett, Jason Fine, Nicholas J. Shaheen & Marco G. Patti. (2018) Laparoscopic Heller Myotomy Versus Peroral Endoscopic Myotomy (POEM) for Achalasia. Annals of Surgery 267:3, pages 451-460.
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Nasim Parsa & Mouen A. Khashab. (2018) POEM in the Treatment of Esophageal Disorders. Current Treatment Options in Gastroenterology 16:1, pages 27-40.
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Young Kwan Cho & Seong Hwan Kim. (2018) Current Status of Peroral Endoscopic Myotomy. Clinical Endoscopy 51:1, pages 13-18.
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S. de Pascale, A. Repici, F. Puccetti, E. Carlani, R. Rosati & U. Fumagalli. (2017) Peroral endoscopic myotomy versus surgical myotomy for primary achalasia: single-center, retrospective analysis of 74 patients. Diseases of the Esophagus 30:8, pages 1-7.
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Aiman Awaiz, Rossita M. Yunus, Shahjahan Khan, Breda Memon & Muhammed A. Memon. (2017) Systematic Review and Meta-Analysis of Perioperative Outcomes of Peroral Endoscopic Myotomy (POEM) and Laparoscopic Heller Myotomy (LHM) for Achalasia. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 27:3, pages 123-131.
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Lee L. Swanström. (2017) POEM outcomes: How long is long enough?. Gastrointestinal Endoscopy 85:5, pages 934-935.
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Yuki B. Werner, Daniel von Renteln, Tania Noder, Guido Schachschal, Ulrike W. Denzer, Stefan Groth, Jan F. Nast, Jan F. Kersten, Martin Petzoldt, Gerhard Adam, Oliver Mann, Alessandro Repici, Cesare Hassan & Thomas Rösch. (2017) Early adverse events of per-oral endoscopic myotomy. Gastrointestinal Endoscopy 85:4, pages 708-718.e2.
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B. H. A. von Rahden, J. Filser, M. Al-Nasser & C.-T. Germer. (2017) Operative Therapie bei Achalasie – endoskopisch oder laparoskopisch?Surgical treatment of achalasia – endoscopic or laparoscopic?. Der Chirurg 88:3, pages 204-210.
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Lijun Peng, Shuni Tian, Chao Du, Ziying Yuan, Mingxiao Guo & Lin Lu. (2017) Outcome of Peroral Endoscopic Myotomy (POEM) for Treating Achalasia Compared With Laparoscopic Heller Myotomy (LHM). Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 27:1, pages 60-64.
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Stavros N. Stavropoulos, Rani Modayil & David Friedel. 2017. NOTES and Endoluminal Surgery. NOTES and Endoluminal Surgery 71 85 .
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Shannon Melissa Chan, Justin Che Yuen Wu, Anthony Yuen Bun Teoh, Hon Chi Yip, Enders Kwok Wai Ng, James Yun Wong Lau & Philip Wai Yan Chiu. (2015) Comparison of early outcomes and quality of life after laparoscopic Heller's cardiomyotomy to peroral endoscopic myotomy for treatment of achalasia. Digestive Endoscopy 28:1, pages 27-32.
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