schliessen

Filtern

 

Bibliotheken

Peroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique

Byline: Ming-Yan Cai (1), Ping-Hong Zhou (1), Li-Qing Yao (1), Mei-Dong Xu (1), Yun-Shi Zhong (1), Quan-Lin Li (1), Wei-Feng Chen (1), Jian-Wei Hu (1), Zhao Cui (1), Bo-Qun Zhu (1) Keywords: Achalasia; Peroral endoscopic myotomy (POEM); Water-jet assisted procedure Abstract: Background Peroral endos... Full description

Journal Title: Surgical Endoscopy 2014, Vol.28(4), pp.1158-1165
Main Author: Cai, Ming-Yan
Other Authors: Zhou, Ping-Hong , Yao, Li-Qing , Xu, Mei-Dong , Zhong, Yun-Shi , Li, Quan-Lin , Chen, Wei-Feng , Hu, Jian-Wei , Cui, Zhao , Zhu, Bo-Qun
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0930-2794 ; E-ISSN: 1432-2218 ; DOI: 10.1007/s00464-013-3300-1
Link: http://dx.doi.org/10.1007/s00464-013-3300-1
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: springer_jour10.1007/s00464-013-3300-1
title: Peroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique
format: Article
creator:
  • Cai, Ming-Yan
  • Zhou, Ping-Hong
  • Yao, Li-Qing
  • Xu, Mei-Dong
  • Zhong, Yun-Shi
  • Li, Quan-Lin
  • Chen, Wei-Feng
  • Hu, Jian-Wei
  • Cui, Zhao
  • Zhu, Bo-Qun
subjects:
  • Achalasia
  • Peroral endoscopic myotomy (POEM)
  • Water-jet assisted procedure
ispartof: Surgical Endoscopy, 2014, Vol.28(4), pp.1158-1165
description: Byline: Ming-Yan Cai (1), Ping-Hong Zhou (1), Li-Qing Yao (1), Mei-Dong Xu (1), Yun-Shi Zhong (1), Quan-Lin Li (1), Wei-Feng Chen (1), Jian-Wei Hu (1), Zhao Cui (1), Bo-Qun Zhu (1) Keywords: Achalasia; Peroral endoscopic myotomy (POEM); Water-jet assisted procedure Abstract: Background Peroral endoscopic myotomy (POEM) has recently been introduced as a promising alternative to laparoscopic Heller myotomy for idiopathic achalasia. Several proposed technical modifications are yet to be tested in randomized trials. Objective The objective of our study was to evaluate efficacy and safety of water-jet (WJ) assisted POEM versus the conventional (C) technique. The clinical trial registration number is NCT01742494. Methods A prospective randomized trial was carried out in Zhongshan Hospital, Fudan University (Shanghai, China), in 100 consenting achalasia patients between August 2011 and April 2012. Patients eligible for POEM were randomized to use of either the HybridKnife (WJ group) or the conventional technique using injection and triangle tip knife interchangeably (C group). Results A total of 100 patients with comparable characteristics between groups were included. Procedure time was significantly shorter for the WJ group (22.9 +- 6.7 vs. 35.9 +- 11.7 min p < 0.0001), mostly due to less replacement of accessories (2.0 +- 2.4 vs. 19.2 +- 7.6 p < 0.0001). Injection volume was larger in the WJ group (45.3 +- 10.2 vs. 35.2 +- 9.5 ml p < 0.0001) and was associated with fewer minor bleeding episodes (3.6 +- 1.8 vs. 6.8 +- 5.2 p < 0.0001). No severe complications occurred one case of cutaneous emphysema occurred in the WJ group, and four cases occurred in the C group (p = 0.17), three cases of pneumonia were encountered in the C group and none in the WJ group (p = 0.24). Treatment success (Eckardt score a$?3) was achieved in 96.5 % of patients, with no significant differences between groups. Conclusions The use of the HybridKnife leads to a significant decrease in POEM procedure time and facilitates reinjection, possibly contributing to a lower rate of minor intra-procedural bleeding. Author Affiliation: (1) Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China Article History: Registration Date: 23/10/2013 Received Date: 16/05/2013 Accepted Date: 30/08/2013 Online Date: 14/11/2013
language: eng
source:
identifier: ISSN: 0930-2794 ; E-ISSN: 1432-2218 ; DOI: 10.1007/s00464-013-3300-1
fulltext: fulltext
issn:
  • 1432-2218
  • 14322218
  • 0930-2794
  • 09302794
url: Link


@attributes
ID216530045
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid10.1007/s00464-013-3300-1
sourceidspringer_jour
recordidTN_springer_jour10.1007/s00464-013-3300-1
sourcesystemPC
pqid1512181919
galeid363766313
display
typearticle
titlePeroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique
creatorCai, Ming-Yan ; Zhou, Ping-Hong ; Yao, Li-Qing ; Xu, Mei-Dong ; Zhong, Yun-Shi ; Li, Quan-Lin ; Chen, Wei-Feng ; Hu, Jian-Wei ; Cui, Zhao ; Zhu, Bo-Qun
ispartofSurgical Endoscopy, 2014, Vol.28(4), pp.1158-1165
identifier
subjectAchalasia ; Peroral endoscopic myotomy (POEM) ; Water-jet assisted procedure
languageeng
source
descriptionByline: Ming-Yan Cai (1), Ping-Hong Zhou (1), Li-Qing Yao (1), Mei-Dong Xu (1), Yun-Shi Zhong (1), Quan-Lin Li (1), Wei-Feng Chen (1), Jian-Wei Hu (1), Zhao Cui (1), Bo-Qun Zhu (1) Keywords: Achalasia; Peroral endoscopic myotomy (POEM); Water-jet assisted procedure Abstract: Background Peroral endoscopic myotomy (POEM) has recently been introduced as a promising alternative to laparoscopic Heller myotomy for idiopathic achalasia. Several proposed technical modifications are yet to be tested in randomized trials. Objective The objective of our study was to evaluate efficacy and safety of water-jet (WJ) assisted POEM versus the conventional (C) technique. The clinical trial registration number is NCT01742494. Methods A prospective randomized trial was carried out in Zhongshan Hospital, Fudan University (Shanghai, China), in 100 consenting achalasia patients between August 2011 and April 2012. Patients eligible for POEM were randomized to use of either the HybridKnife (WJ group) or the conventional technique using injection and triangle tip knife interchangeably (C group). Results A total of 100 patients with comparable characteristics between groups were included. Procedure time was significantly shorter for the WJ group (22.9 +- 6.7 vs. 35.9 +- 11.7 min p < 0.0001), mostly due to less replacement of accessories (2.0 +- 2.4 vs. 19.2 +- 7.6 p < 0.0001). Injection volume was larger in the WJ group (45.3 +- 10.2 vs. 35.2 +- 9.5 ml p < 0.0001) and was associated with fewer minor bleeding episodes (3.6 +- 1.8 vs. 6.8 +- 5.2 p < 0.0001). No severe complications occurred one case of cutaneous emphysema occurred in the WJ group, and four cases occurred in the C group (p = 0.17), three cases of pneumonia were encountered in the C group and none in the WJ group (p = 0.24). Treatment success (Eckardt score a$?3) was achieved in 96.5 % of patients, with no significant differences between groups. Conclusions The use of the HybridKnife leads to a significant decrease in POEM procedure time and facilitates reinjection, possibly contributing to a lower rate of minor intra-procedural bleeding. Author Affiliation: (1) Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China Article History: Registration Date: 23/10/2013 Received Date: 16/05/2013 Accepted Date: 30/08/2013 Online Date: 14/11/2013
version7
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
backlink$$Uhttp://dx.doi.org/10.1007/s00464-013-3300-1$$EView_full_text_in_Springer_(Subscribers_only)
search
creatorcontrib
0Cai, Ming-Yan
1Zhou, Ping-Hong
2Yao, Li-Qing
3Xu, Mei-Dong
4Zhong, Yun-Shi
5Li, Quan-Lin
6Chen, Wei-Feng
7Hu, Jian-Wei
8Cui, Zhao
9Zhu, Bo-Qun
titlePeroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique
subject
0Achalasia
1Peroral endoscopic myotomy (POEM)
2Water-jet assisted procedure
general
010.1007/s00464-013-3300-1
1English
2Springer Science & Business Media B.V.
3SpringerLink
sourceidspringer_jour
recordidspringer_jour10.1007/s00464-013-3300-1
issn
01432-2218
114322218
20930-2794
309302794
rsrctypearticle
creationdate2014
addtitle
0Surgical Endoscopy
1And Other Interventional Techniques Official Journal of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and European Association for Endoscopic Surgery (EAES)
2Surg Endosc
searchscopespringer_journals_complete
scopespringer_journals_complete
lsr30VSR-Enriched:[pqid, galeid, description, pages]
sort
titlePeroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique
authorCai, Ming-Yan ; Zhou, Ping-Hong ; Yao, Li-Qing ; Xu, Mei-Dong ; Zhong, Yun-Shi ; Li, Quan-Lin ; Chen, Wei-Feng ; Hu, Jian-Wei ; Cui, Zhao ; Zhu, Bo-Qun
creationdate20140400
facets
frbrgroupid7809161426822771611
frbrtype5
languageeng
creationdate2014
topic
0Achalasia
1Peroral Endoscopic Myotomy (Poem)
2Water-Jet Assisted Procedure
collectionSpringerLink
prefilterarticles
rsrctypearticles
creatorcontrib
0Cai, Ming-Yan
1Zhou, Ping-Hong
2Yao, Li-Qing
3Xu, Mei-Dong
4Zhong, Yun-Shi
5Li, Quan-Lin
6Chen, Wei-Feng
7Hu, Jian-Wei
8Cui, Zhao
9Zhu, Bo-Qun
jtitleSurgical Endoscopy
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Cai
1Zhou
2Yao
3Xu
4Zhong
5Li
6Chen
7Hu
8Cui
9Zhu
aufirst
0Ming-Yan
1Ping-Hong
2Li-Qing
3Mei-Dong
4Yun-Shi
5Quan-Lin
6Wei-Feng
7Jian-Wei
8Zhao
9Bo-Qun
au
0Cai, Ming-Yan
1Zhou, Ping-Hong
2Yao, Li-Qing
3Xu, Mei-Dong
4Zhong, Yun-Shi
5Li, Quan-Lin
6Chen, Wei-Feng
7Hu, Jian-Wei
8Cui, Zhao
9Zhu, Bo-Qun
atitlePeroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique
jtitleSurgical Endoscopy
stitleSurg Endosc
addtitleAnd Other Interventional Techniques Official Journal of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and European Association for Endoscopic Surgery (EAES)
risdate201404
volume28
issue4
spage1158
epage1165
issn0930-2794
eissn1432-2218
genrearticle
ristypeJOUR
copBoston
pubSpringer US
doi10.1007/s00464-013-3300-1
pages1158-1165
date2014-04