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Peroral Endoscopic Myotomy with Simultaneous Endoscopic Fundoplication for a patient with achalasia

https://doi.org/10.24884/0042-4625-2019-178-3-43-46

Abstract

To treat the patient with Achalasia and prevent the symptoms of gastroesophageal reflux the Peroral Endoscopic Myotomy with Simultaneous Endoscopic Fundoplication was done by the current authors. After performing a myotomy the endoloop was fixated to the stomach and was attached to the muscle of the esophagus by using the endoclips. The endoloop was tightened therefore shaping the cuff. This operation has been technically feasible and no immediate or delayed complications occurred.

About the Authors

A. A. Smirnov
Pavlov University
Russian Federation

6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022



S. F. Bagnenko
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022


M. E. Lyubchenko
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022


M. M. Kiriltseva
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022


E. V. Blinov
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022


N. V. Konkina
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022


D. I. Vasilevskiy
Pavlov University
Russian Federation
6-8 L’va Tolstogo street, St. Petersburg, Russia, 197022


A. B. Kargabayeva
Kazakh Institute of Oncology and Radiology
Kazakhstan
Kazakhstan, Almaty


References

1. Inoue H. et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia // Endoscopy. 2010. Vol. 42, № 4. P. 265–271. Doi: 10.1055/s-0029-1244080.

2. Schaheen L. W., Sanchez M. V., Luketich J. D. Peroral Endoscopic Myotomy for Achalasia // Thorac. Surg. Clin. 2018. Vol. 28, № 4. P. 499–506. Doi: 10.1016/j.thorsurg.2018.07.005.

3. Inoue H. et al. Clinical practice guidelines for peroral endoscopic myotomy // Dig. Endosc. 2018. Vol. 30, № 5. P. 563–579. Doi: 10.1111/den.13239.

4. Sanaka M. R. et al. Peroral endoscopic myotomy leads to higher rates of abnormal esophageal acid exposure than laparoscopic Heller myotomy in achalasia // Surg. Endosc. 2018. Doi: 10.1007/s00464-018-6522-4.

5. Schlottmann F., Patti M. G. Laparoscopic Heller Myotomy versus Per Oral Endoscopic Myotomy : Evidence-Based Approach to the Treatment of Esophageal Achalasia // Am. Surg. 2018. Vol. 84, № 4. P. 496–500. PMID: 29712595.

6. Inoue H. et al. Peroral endoscopic myotomy and fundoplication : a novel NOTES procedure. // Endoscopy. 2019. Vol. 51, № 2. P. 161–164. Doi: 10.1055/a-0820-2731.


Review

For citations:


Smirnov A.A., Bagnenko S.F., Lyubchenko M.E., Kiriltseva M.M., Blinov E.V., Konkina N.V., Vasilevskiy D.I., Kargabayeva A.B. Peroral Endoscopic Myotomy with Simultaneous Endoscopic Fundoplication for a patient with achalasia. Grekov's Bulletin of Surgery. 2019;178(3):43-46. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-3-43-46

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)