Erratum to: Per-oral endoscopic myotomy (POEM): mid-term efficacy and safety

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F17%3AA1801PDR" target="_blank" >RIV/61988987:17110/17:A1801PDR - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1007/s00464-017-5828-y" target="_blank" >http://dx.doi.org/10.1007/s00464-017-5828-y</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00464-017-5828-y" target="_blank" >10.1007/s00464-017-5828-y</a>

Result language

angličtina

Original language name

Erratum to: Per-oral endoscopic myotomy (POEM): mid-term efficacy and safety

Original language description

Per-oral endoscopic myotomy(POEM) is becoming a standard treatment for achalasia. Long-term efficacy and the rate of post-POEM refluxshould be further investigated. The main aim of this studywas to analyze safety and mid-term (12 and 24 months)clinical outcomes of POEM. Methods: Data on single tertiary center procedures werecollected prospectively. The primary outcome was treatmentsuccess defined as an Eckardt score < 3 at 12 and 24 months. A total of 155 consecutive patients withachalasia underwent POEM; 133 patients were includedinto the analysis (22 patients will be analyzed separately aspart of a multicenter randomized clinical trial).Results POEM was successfully completed in 132 (99.2%)patients, and the mean length of the procedure was 69.8min (range 31-136). One patient underwent a drainagefor pleural effusion; no other serious adverse eventsoccurred. Treatment success at 3, 12, and 24 months wasobserved in 95.5% (CI 89.6-98.1), 93.4% (86.5-96.8), and84.0% (71.4-91.4) of patients, respectively. A total of 11patients (8.3%) reported initial treatment failure (n = 5) orlater recurrence (n = 6). The majority of relapses occurredin patients with achalasia type I (16.7 vs. 1.1% achalasiatype II vs. 0% achalasia type III; p < 0.05). At 12 months,post-POEM reflux symptoms were present in 29.7% ofpatients. At 3 months, mild reflux esophagitis was diagnosedin 37.6% of patients, and pathological gastroesophagealreflux was detected in 41.5% of patients. A totalof 37.8% of patients had been treated with a proton pumpinhibitor.Conclusion POEM resulted in greater than 90% treatmentsuccess at 12 months which tends to decrease to 84% after2 years. More than one-third of the patients had mild refluxsymptoms and/or mild esophagitis.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30218 - General and internal medicine

Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Surgical Endoscopy and Other Interventional Techniques

ISSN

0930-2794

e-ISSN

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Volume of the periodical

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Issue of the periodical within the volume

září

Country of publishing house

US - UNITED STATES

Number of pages

10

Pages from-to

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UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85029108762