Peroral endoscopic myotomy for complex achalasia and the POEM difficulty score: An update.

• Tác giả: Robert Bechara, Carmen Ching Hui Yee, Matthew Woo, Michael Youssef
• Ngôn ngữ: eng
• Ký hiệu phân loại: 778.4 *Stereoscopic photography and projection
• Thông tin xuất bản: Australia : DEN open , 2025
• Bộ sưu tập: NCBI
• ID: 721347

Tóm tắt

 OBJECTIVES: We present an update on the (peroral endoscopic myotomy (POEM) difficulty score [PDS] by introducing a novel knife with waterjet functionality. METHODS: This is a retrospective review of patients who underwent POEM between May 2018 and July 2023 at the Kingston Health Sciences Center. Demographic and procedural variables were compared using descriptive and inferential statistics. RESULTS: One hundred thirty-nine consecutive POEMs were included in the study. Seventy-four (56.7% male
  aged 56.7 ± 16.5 years) complex achalasia (CA) and 65 (55.4% female
  aged 47.3 ± 20.2 years) non-CA POEM procedures were performed. PDS correlates moderately with procedural efficiency with a correlation coefficient of 0.595 (Spearman's CONCLUSIONS: PDS continues to moderately correlate with procedural efficiency using the novel knife. The presence of spastic contractions correlated poorly with procedural efficiency. Thus, it may be omitted in further studies.