Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Author index

Page Path
HOME > Browse Articles > Author index
Search
Kristen Weaver 2 Articles
Endoscopic Ultrasound (EUS)-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography or EUS: Mid-Term Analysis of an Emerging Procedure
Amy Tyberg, Jose Nieto, Sanjay Salgado, Kristen Weaver, Prashant Kedia, Reem Z. Sharaiha, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2017;50(2):185-190.   Published online September 19, 2016
DOI: https://doi.org/10.5946/ce.2016.030
AbstractAbstract PDFPubReaderePub
Background
/Aims: Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone Rouxen-Y gastric bypass (RYGB) is challenging. Standard ERCP and enteroscopy-assisted ERCP are associated with limited success rates. Laparoscopy- or laparotomy-assisted ERCP yields improved efficacy rates, but with higher complication rates and costs. We present the first multicenter experience regarding the efficacy and safety of endoscopic ultrasound (EUS)-directed transgastric ERCP (EDGE) or EUS.
Methods
All patients who underwent EDGE at two academic centers were included. Clinical success was defined as successful ERCP and/or EUS through the use of lumen-apposing metal stents (LAMS). Adverse events related to EDGE were separated from ERCP- or EUS-related complications and were defined as bleeding, stent migration, perforation, and infection.
Results
Sixteen patients were included in the study. Technical success was 100%. Clinical success was 90% (n=10); five patients were awaiting maturation of the fistula tract prior to ERCP or EUS, and one patient had an aborted ERCP due to perforation. One perforation occurred, which was managed endoscopically. Three patients experienced stent dislodgement; all stents were successfully repositioned or bridged with a second stent. Ten patients (62.5%) had their LAMS removed. The average weight change from LAMS insertion to removal was negative 2.85 kg.
Conclusions
EDGE is an effective, minimally invasive, single-team solution to the difficulties associated with ERCP in patients with RYGB.

Citations

Citations to this article as recorded by  
  • Approaches to Pancreaticobiliary Endoscopy in Roux-en-Y Gastric Bypass Anatomy
    Khaled Elfert, Michel Kahaleh
    Gastrointestinal Endoscopy Clinics of North America.2024; 34(3): 475.     CrossRef
  • Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study
    Hafiz Muzaffar Akbar Khan, Azhar Hussain, Vishnu Charan Suresh Kumar, Dennis Yang, Muhammad Khalid Hasan
    Gastrointestinal Endoscopy.2024; 100(1): 132.     CrossRef
  • Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE) Utilization of Trends Among Interventional Endoscopists
    Sardar M. Shah-Khan, Eric Zhao, Amy Tyberg, Sardar Sarkar, Haroon M. Shahid, Rodrigo Duarte-Chavez, Monica Gaidhane, Michel Kahaleh
    Digestive Diseases and Sciences.2023; 68(4): 1167.     CrossRef
  • Factors predictive of persistent fistulas in EUS-directed transgastric ERCP: a multicenter matched case-control study
    Bachir Ghandour, Margaret G. Keane, Brianna Shinn, Qais M. Dawod, Sima Fansa, Abdul Hamid El Chafic, Shayan S. Irani, Rishi Pawa, Aditya Gutta, Yervant Ichkhanian, Bharat Paranandi, Swati Pawa, Mohammad A. Al-Haddad, Tobias Zuchelli, Matthew T. Huggett, R
    Gastrointestinal Endoscopy.2023; 97(2): 260.     CrossRef
  • Suturing a 20-mm lumen-apposing metal stent allows for safe same-session EUS-directed transgastric intervention in patients with Roux-en-Y gastric bypass anatomy: a multicenter study (with video)
    Margaret G. Keane, Jennifer T. Higa, Danielle La Selva, Mouen A. Khashab, Shayan S. Irani
    Gastrointestinal Endoscopy.2023; 97(2): 291.     CrossRef
  • Efficacy & safety of EUS-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) in Roux-en-Y gastric bypass anatomy: a systematic review & meta-analysis
    Smit S. Deliwala, Babu P. Mohan, Pradeep Yarra, Shahab R. Khan, Saurabh Chandan, Daryl Ramai, Lena L. Kassab, Antonio Facciorusso, Manish Dhawan, Douglas G. Adler, Vivek Kaul, Saurabh Chawla, Gursimran S. Kochhar
    Surgical Endoscopy.2023; 37(6): 4144.     CrossRef
  • Risk factors of anastomosis‐related difficult endoscopic retrograde cholangiopancreatography following endoscopic ultrasound‐guided gastro‐gastrostomy using a standardized protocol (with video)
    Enrique Pérez‐Cuadrado‐Robles, Hadrien Alric, Lucille Quénéhervé, Laurent Monino, Tigran Poghosyan, Hedi Benosman, Ariane Vienne, Guillaume Perrod, Lionel Rebibo, Ali Aidibi, Elena Tenorio‐González, Emilia Ragot, Mehdi Karoui, Christophe Cellier, Gabriel
    Digestive Endoscopy.2023; 35(7): 909.     CrossRef
  • Endoscopic ultrasound-directed transgastric ERCP (EDGE): A multicenter US study on long-term follow-up and fistula closure
    Prashant Kedia, Sardar Shah-Khan, Amy Tyberg, Monica Gaidhane, Avik Sarkar, Haroon Shahid, Eric Zhao, Shyam Thakkar, Mason Winkie, Matthew Krafft, Shailendra Singh, Eugene Zolotarevsky, Jeremy Barber, Mitchelle Zolotarevsky, Ian Greenberg, Dhiemeziem Eke,
    Endoscopy International Open.2023; 11(05): E529.     CrossRef
  • Endoscopic-Directed Trans-Gastric Retrograde Cholangiopancreatography in Patients With Roux-en-Y gastric Bypasses
    Tong Su, Tianjie Chen, Jing Wang, Yuemin Feng, Ruixia Wang, Shulei Zhao
    Journal of Clinical Gastroenterology.2023; 57(9): 871.     CrossRef
  • Safety and efficacy of LA-ERCP procedure following Roux-en-Y gastric bypass: a systematic review and meta-analysis
    Baraa Saad, Maya Nasser, Reem H. Matar, Hayato Nakanishi, Danijel Tosovic, Christian A. Than, Stephanie Taha-Mehlitz, Anas Taha
    Surgical Endoscopy.2023; 37(9): 6682.     CrossRef
  • Clinical application and follow-up of electrocautery-enhanced lumen-apposing metal stents for endoscopic ultrasonography-guided interventions
    Yu Mo She, Nan Ge
    Annals of Medicine.2023;[Epub]     CrossRef
  • Endoscopic Biliary Drainage in Surgically Altered Anatomy
    Marco Spadaccini, Carmelo Marco Giacchetto, Matteo Fiacca, Matteo Colombo, Marta Andreozzi, Silvia Carrara, Roberta Maselli, Fabio Saccà, Alessandro De Marco, Gianluca Franchellucci, Kareem Khalaf, Glenn Koleth, Cesare Hassan, Andrea Anderloni, Alessandro
    Diagnostics.2023; 13(24): 3623.     CrossRef
  • Laparoscopic-assisted ERCP following RYGB: a 12-year assessment of outcomes and learning curve at a high-volume pancreatobiliary center
    Samer AlMasri, Mazen S. Zenati, Georgios I. Papachristou, Adam Slivka, Michael Sanders, Jennifer Chennat, Mordechai Rabinowitz, Asif Khalid, Andres Gelrud, John Nasr, Savreet Sarkaria, Rohit Das, Kenneth K. Lee, Wolfgang Schraut, Steve J. Hughes, A. James
    Surgical Endoscopy.2022; 36(1): 621.     CrossRef
  • Endoscopic ultrasound-directed transgastric ERCP (EDGE): a systematic review describing the outcomes, adverse events, and knowledge gaps
    Shaurya Prakash, B. Joseph Elmunzer, Erin M. Forster, Gregory A. Cote, Robert A. Moran
    Endoscopy.2022; 54(01): 52.     CrossRef
  • “Innocent as a LAMS”: Does Spontaneous Fistula Closure (Secondary Intention), After EUS-Directed Transgastric ERCP (EDGE) via 20-mm Lumen-Apposing Metal Stent, Confer an Increased Risk of Persistent Fistula and Unintentional Weight Gain?
    Matthew Richard Krafft, Alyssa Lorenze, Michael P. Croglio, Wei Fang, Todd H. Baron, John Y. Nasr
    Digestive Diseases and Sciences.2022; 67(6): 2337.     CrossRef
  • Biliopancreatic access following anatomy-altering bariatric surgery: a literature review
    Pavlos Papasavas, Salvatore Docimo, Rodolfo J. Oviedo, Dan Eisenberg
    Surgery for Obesity and Related Diseases.2022; 18(1): 21.     CrossRef
  • Extrapancreatic Advanced Endoscopic Interventions
    Haresh Vijay Naringrekar, Haroon Shahid, Cyril Varghese, Alex Schlachterman, Sandeep P. Deshmukh, Christopher G. Roth
    RadioGraphics.2022; 42(2): 379.     CrossRef
  • EUS-directed transgastric ERCP: a step-by-step approach (with video)
    Michel Kahaleh
    Gastrointestinal Endoscopy.2022; 95(4): 787.     CrossRef
  • Comparison of endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography outcomes using various technical approaches
    Firas Bahdi, Rollin George, Kavea Paneerselvam, Dang Nguyen, Wasif M. Abidi, Mohamed O. Othman, Isaac Raijman
    Endoscopy International Open.2022; 10(04): E459.     CrossRef
  • Endoscopic retrieval of a blocked double-pigtail plastic biliary stent through an endoscopic ultrasound-guided gastrojejunostomy in a patient with gastric outlet obstruction
    Sridhar Sundaram, Kiran Mane, Unique Tyagi, Aadish Kumar Jain, Utkarsh Chhanchure, Prachi Patil, Shaesta Mehta
    Endoscopy.2022; 54(S 02): E806.     CrossRef
  • Endoscopic Approaches to the Management of Biliary Tract Pathology: The Use of Therapeutic Endoscopic Ultrasound
    Amy E. Hosmer
    Digestive Disease Interventions.2022; 06(03): 197.     CrossRef
  • EUS-directed transgastric interventions in Roux-en-Y gastric bypass anatomy: a multicenter experience
    Bachir Ghandour, Brianna Shinn, Qais M. Dawod, Sima Fansa, Abdul Hamid El Chafic, Shayan S. Irani, Rishi Pawa, Aditya Gutta, Yervant Ichkhanian, Bharat Paranandi, Swati Pawa, Mohammad A. Al-Haddad, Tobias Zuchelli, Matthew T. Huggett, Michael Bejjani, Ree
    Gastrointestinal Endoscopy.2022; 96(4): 630.     CrossRef
  • Endoscopic ultrasound guided access procedures following surgery
    Khaled Elfert, Ebrahim Zeid, Rodrigo Duarte-Chavez, Michel Kahaleh
    Best Practice & Research Clinical Gastroenterology.2022; 60-61: 101812.     CrossRef
  • Shortened-Interval Dual-Session EDGE Reduces the Risk of LAMS Dislodgement While Facilitating Timely ERCP
    Matthew R. Krafft, Wei Fang, John Y. Nasr
    Digestive Diseases and Sciences.2021; 66(8): 2776.     CrossRef
  • A comparison of clinical outcomes and cost utility among laparoscopy, enteroscopy, and temporary gastric access-assisted ERCP in patients with Roux-en-Y gastric bypass anatomy
    Thomas J. Wang, Pedro Cortes, Pichamol Jirapinyo, Christopher C. Thompson, Marvin Ryou
    Surgical Endoscopy.2021; 35(8): 4469.     CrossRef
  • Endoscopic ultrasound-directed transgastric ERCP facilitating extensive ampullectomy in Roux-en-Y gastric bypass patient
    Petr Vaněk, Martin L. Freeman, Guru Trikudanathan
    Endoscopy.2021; 53(07): E261.     CrossRef
  • Lumen-apposing metal stents for approved and off-label indications: a single-centre experience
    Pieter Hindryckx, Helena Degroote
    Surgical Endoscopy.2021; 35(11): 6013.     CrossRef
  • Endoscopic ultrasound-directed transgastric ERCP (EDGE): a retrospective multicenter study
    Thomas M. Runge, Austin L. Chiang, Thomas E. Kowalski, Theodore W. James, Todd H. Baron, Jose Nieto, David L. Diehl, Matthew R. Krafft, John Y. Nasr, Vikas Kumar, Harshit S. Khara, Shayan Irani, Arpan Patel, Ryan J. Law, David E. Loren, Alex Schlachterman
    Endoscopy.2021; 53(06): 611.     CrossRef
  • Endoscopy in Patients With Surgically Altered Anatomy
    Monique T. Barakat, Douglas G. Adler
    American Journal of Gastroenterology.2021; 116(4): 657.     CrossRef
  • EUS-directed transgastric ERCP: A first-line option for ERCP following Roux-en-Y gastric bypass
    MoniqueT Barakat, DouglasG Adler
    Endoscopic Ultrasound.2021; 10(3): 151.     CrossRef
  • Maximizing success in single-session EUS-directed transgastric ERCP: a retrospective cohort study to identify predictive factors of stent migration
    Brianna Shinn, Tina Boortalary, Isaac Raijman, Jose Nieto, Harshit S. Khara, S. Vikas Kumar, Bradley Confer, David L. Diehl, Maan El Halabi, Yervant Ichkhanian, Thomas Runge, Vivek Kumbhari, Mouen Khashab, Amy Tyberg, Haroon Shahid, Avik Sarkar, Monica Ga
    Gastrointestinal Endoscopy.2021; 94(4): 727.     CrossRef
  • Endoscopic ultrasound-guided biliary drainage: Are we there yet?
    Rishi Pawa, Troy Pleasant, Chloe Tom, Swati Pawa
    World Journal of Gastrointestinal Endoscopy.2021; 13(8): 302.     CrossRef
  • Novel Uses of Lumen-apposing Metal Stents
    Prashant Bhenswala, Muhddesa Lakhana, Frank G. Gress, Iman Andalib
    Journal of Clinical Gastroenterology.2021; 55(8): 641.     CrossRef
  • Biliopancreatic Endoscopy in Altered Anatomy
    Ilaria Tarantino, Giacomo Emanuele Maria Rizzo
    Medicina.2021; 57(10): 1014.     CrossRef
  • Endoscopic management of difficult common bile duct stones: Where are we now? A comprehensive review
    Alberto Tringali, Deborah Costa, Alessandro Fugazza, Matteo Colombo, Kareem Khalaf, Alessandro Repici, Andrea Anderloni
    World Journal of Gastroenterology.2021; 27(44): 7597.     CrossRef
  • Interventional endoscopic ultrasonography in patients with surgically altered anatomy: Techniques and literature review
    Akio Katanuma, Tusyoshi Hayashi, Toshifumi Kin, Haruka Toyonaga, Shunsuke Honta, Kouki Chikugo, Hidetaro Ueki, Tastuya Ishii, Kuniyuki Takahashi
    Digestive Endoscopy.2020; 32(2): 263.     CrossRef
  • Endoscopic ultrasound-directed transgastric ERCP in patients with Roux-en-Y gastric bypass using lumen-apposing metal stents or duodenal self-expandable metal stents. A European single-center experience
    Marina de Benito Sanz, Ana Yaiza Carbajo López, Ramón Sánchez-Ocaña Hernández, Carlos Chavarría Herbozo, Sergio Bagaza Pérez de Rozas, Javier García-Alonso, Carlos de la Serna Higuera, Manuel Pérez-Miranda Castillo
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Tailored access to the hepatobiliary system in post-bariatric patients: a tertiary care bariatric center experience
    Dino Kröll, Alexandra Charlotte Müller, Philipp C. Nett, Reiner Wiest, Johannes Maubach, Guido Stirnimann, Daniel Candinas, Yves Michael Borbély
    Surgical Endoscopy.2020; 34(12): 5469.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography in Patients With Roux-en-Y Gastric Bypass
    Erin Forster, B. Joseph Elmunzer
    American Journal of Gastroenterology.2020; 115(2): 155.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography in Patients With Surgically Altered Anatomy
    Nasim Parsa, Yervant Ichkhanian, Mouen A. Khashab
    Current Treatment Options in Gastroenterology.2020; 18(2): 212.     CrossRef
  • Temporary Trans-gastric Stent Deployment Over a 20 French Gastrostomy for Single-Stage Endoscopic Retrograde Cholangiopancreatography After Gastric Bypass
    Gianfranco Donatelli, Fabrizio Cereatti, Andrea Spota, Thierry Tuszynski, David Danan, Jean-Loup Dumont
    Obesity Surgery.2020; 30(10): 4130.     CrossRef
  • Endoscopic devices and techniques for the management of bariatric surgical adverse events (with videos)
    Allison R. Schulman, Rabindra R. Watson, Barham K. Abu Dayyeh, Manoop S. Bhutani, Vinay Chandrasekhara, Pichamol Jirapinyo, Kumar Krishnan, Nikhil A. Kumta, Joshua Melson, Rahul Pannala, Mansour A. Parsi, Guru Trikudanathan, Arvind J. Trindade, John T. Ma
    Gastrointestinal Endoscopy.2020; 92(3): 492.     CrossRef
  • Endoscopic management of gastric outlet obstruction of remnant stomach in a patient with Roux-en-Y gastric bypass
    Vivek Kesar, John Magulick, Varun Kesar, Thiruvengadam Muniraj, Harry R. Aslanian
    VideoGIE.2020; 5(11): 557.     CrossRef
  • After you Roux, what do you do? A systematic review of most successful advanced assisted ERCP techniques in patients with various altered upper gastrointestinal surgical anatomical reconstructions with particular focus on RYGB (last 10 years)
    Mohamed Elsharif, Adam Gary Hague, Hussam Ahmed, Roger Ackroyd
    Clinical Journal of Gastroenterology.2020; 13(6): 985.     CrossRef
  • Endoscopic Ultrasound
    Shelini Sooklal, Prabhleen Chahal
    Surgical Clinics of North America.2020; 100(6): 1133.     CrossRef
  • Endoscopic approach to gastric remnant outlet obstruction after gastric bypass: A case report
    Arash Zarrin, Sufian Sorathia, Vivek Choksi, Steven Robert Kaplan, Franklin Kasmin
    World Journal of Gastrointestinal Endoscopy.2020; 12(9): 297.     CrossRef
  • Recent developments in endoscopic ultrasonography-guided gastroenterostomy
    Kenjiro Yamamoto, Takao Itoi
    International Journal of Gastrointestinal Intervention.2020; 9(4): 177.     CrossRef
  • ERCP with overtube-assisted enteroscopy in patients with Roux-en-Y gastric bypass anatomy: a systematic review and meta-analysis
    Jagpal Singh Klair, Mahendran Jayaraj, Viveksandeep Thoguluva Chandrasekar, Harshith Priyan, Joanna Law, Arvind R. Murali, Dhruv Singh, Michael Larsen, Shayan Irani, Richard Kozarek, Andrew Ross, Rajesh Krishnamoorthi
    Endoscopy.2020; 52(10): 824.     CrossRef
  • Bariatric endoscopy: current primary therapies and endoscopic management of complications and other related conditions
    Melissa Castro, Alfredo Daniel Guerron
    Mini-invasive Surgery.2020;[Epub]     CrossRef
  • Duodenal endoscopic submucosal dissection and sutured defect closure across a lumen-apposing metal stent
    Phillip S. Ge, Hiroyuki Aihara, Christopher C. Thompson, Marvin Ryou
    VideoGIE.2019; 4(4): 172.     CrossRef
  • Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE): a Single-Center US Experience with Follow-up Data on Fistula Closure
    Theodore W. James, Todd Huntley Baron
    Obesity Surgery.2019; 29(2): 451.     CrossRef
  • Endoscopic Management of Complex Biliary Stone Disease
    Prashant Kedia, Paul R. Tarnasky
    Gastrointestinal Endoscopy Clinics of North America.2019; 29(2): 257.     CrossRef
  • ERCP in patients with Roux-en-Y gastric bypass: one size does not fit all
    Dennis Yang, Peter V. Draganov
    Gastrointestinal Endoscopy.2019; 89(3): 646.     CrossRef
  • Response
    Majidah Bukhari, Mouen A Khashab
    Gastrointestinal Endoscopy.2019; 89(3): 646.     CrossRef
  • EUS-directed Transgastric ERCP (EDGE) Versus Laparoscopy-assisted ERCP (LA-ERCP) for Roux-en-Y Gastric Bypass (RYGB) Anatomy
    Prashant Kedia, Paul R. Tarnasky, Jose Nieto, Stephen L. Steele, Ali Siddiqui, Ming-ming Xu, Amy Tyberg, Monica Gaidhane, Michel Kahaleh
    Journal of Clinical Gastroenterology.2019; 53(4): 304.     CrossRef
  • Advanced Endoscopic Procedures: An Update for Radiologists
    Preethi Guniganti, Andrea S. Kierans
    American Journal of Roentgenology.2019; 213(2): 332.     CrossRef
  • Endoscopic retrograde cholangiopancreatography in Roux-en-Y gastric bypass patients
    Tom G. Moreels
    Minerva Chirurgica.2019;[Epub]     CrossRef
  • An adverse event of EUS-directed transgastric ERCP: stent-in-stent technique to bridge the peritoneal gap
    Anna Duloy, Hazem Hammad, Raj J. Shah
    VideoGIE.2019; 4(11): 508.     CrossRef
  • Accès à l’estomac exclu après by-pass gastrique : expérience d’un centre expert dépourvu de plateau technique permettant la cholangiopancréaticographie rétrograde endoscopique
    D. Verscheure, G. Donatelli, P. Tammaro, J.L. Dumont, J.P. Marmuse, K. Arapis
    Journal de Chirurgie Viscérale.2018; 155(3): 194.     CrossRef
  • Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass
    Ali M. Abbas, Andrew T. Strong, David L. Diehl, Brian C. Brauer, Iris H. Lee, Rebecca Burbridge, Jaroslav Zivny, Jennifer T. Higa, Marcelo Falcão, Ihab I. El Hajj, Paul Tarnasky, Brintha K. Enestvedt, Alexander R. Ende, Adarsh M. Thaker, Rishi Pawa, Priya
    Gastrointestinal Endoscopy.2018; 87(4): 1031.     CrossRef
  • Spiral enteroscopy–assisted ERCP in bariatric-length Roux-en-Y anatomy: a large single-center series and review of the literature (with video)
    Mohammad F. Ali, Rani Modayil, Krishna C. Gurram, Collin E.M. Brathwaite, David Friedel, Stavros N. Stavropoulos
    Gastrointestinal Endoscopy.2018; 87(5): 1241.     CrossRef
  • EUS-guided colo-enterostomy as a salvage drainage procedure in a high surgical risk patient with small bowel obstruction due to severe ileocolonic anastomotic stricture: a new application of lumen-apposing metal stent (LAMS)
    Hugh D. Mai, Ethan Dubin, Arun A. Mavanur, Marvin Feldman, Sudhir Dutta
    Clinical Journal of Gastroenterology.2018; 11(4): 282.     CrossRef
  • Response to Alkhatib and Alasadi
    Allison R. Schulman, Christopher C. Thompson
    American Journal of Gastroenterology.2018; 113(5): 777.     CrossRef
  • Single Session EUS-Guided Temporary Gastro-Gastrostomy and ERCP Following Gastric Bypass
    Dario Ligresti, Michele Amata, Antonino Granata, Fabio Cipolletta, Luca Barresi, Mario Traina, Ilaria Tarantino
    Obesity Surgery.2018; 28(3): 886.     CrossRef
  • Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents
    Stuart K. Amateau, Martin L. Freeman
    Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 219.     CrossRef
  • An international, multicenter, comparative trial of EUS-guided gastrogastrostomy-assisted ERCP versus enteroscopy-assisted ERCP in patients with Roux-en-Y gastric bypass anatomy
    Majidah Bukhari, Thomas Kowalski, Jose Nieto, Rastislav Kunda, Nitin K. Ahuja, Shayan Irani, Apeksha Shah, David Loren, Olaya Brewer, Omid Sanaei, Yen-I Chen, Saowanee Ngamruengphong, Vivek Kumbhari, Vikesh Singh, Hanaa Dakour Aridi, Mouen A. Khashab
    Gastrointestinal Endoscopy.2018; 88(3): 486.     CrossRef
  • Updates in Therapeutic Endoscopic Ultrasonography
    Shawn L. Shah, Manuel Perez-Miranda, Michel Kahaleh, Amy Tyberg
    Journal of Clinical Gastroenterology.2018; 52(9): 765.     CrossRef
  • Endoscopic Ultrasound-Guided Creation of a Gastrogastric Conduit After Pancreaticoduodenectomy in a Patient with Prior Roux-en-Y Gastric Bypass
    Rohit Das, Herbert Zeh, Amer Zureikat, Adam Slivka, Georgios I. Papachristou
    ACG Case Reports Journal.2018; 5(12): e1001.     CrossRef
  • Endoscopic Ultrasound-Guided Creation of a Gastrogastric Conduit After Pancreaticoduodenectomy in a Patient with Prior Roux-en-Y Gastric Bypass
    Rohit Das, Herbert Zeh, Amer Zureikat, Adam Slivka, Georgios I. Papachristou
    ACG Case Reports Journal.2018; 5(1): e100.     CrossRef
  • Commentary on “Endoscopic Ultrasound (EUS)-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography or EUS”
    Se Woo Park
    Clinical Endoscopy.2017; 50(2): 102.     CrossRef
  • Techniques for endoscopic retrograde cholangiopancreatography in altered gastrointestinal anatomy
    Tom G. Moreels
    Current Opinion in Gastroenterology.2017; 33(5): 339.     CrossRef
  • Complications of Bariatric Surgery: What You Can Expect to See in Your GI Practice
    Allison R Schulman, Christopher C Thompson
    American Journal of Gastroenterology.2017; 112(11): 1640.     CrossRef
  • Endoscopic Evaluation/Management of Bariatric Surgery Complications
    Allison R. Schulman, Christopher C. Thompson
    Current Treatment Options in Gastroenterology.2017; 15(4): 701.     CrossRef
  • 11,110 View
  • 261 Download
  • 78 Web of Science
  • 73 Crossref
Close layer
Peroral Endoscopic Myotomy: Establishing a New Program
Nikhil A. Kumta, Shivani Mehta, Prashant Kedia, Kristen Weaver, Reem Z. Sharaiha, Norio Fukami, Hitomi Minami, Fernando Casas, Monica Gaidhane, Arnon Lambroza, Michel Kahaleh
Clin Endosc 2014;47(5):389-397.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.389
AbstractAbstract PDFPubReaderePub

Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter (LES) and aperistalsis of the esophageal body. Treatment of achalasia is aimed at decreasing the resting pressure in the LES. Peroral endoscopic myotomy (POEM), derived from natural orifice transluminal endoscopic surgery (NOTES) and advances in endoscopic submucosal dissection (ESD), presents a novel, minimally invasive, and curative endoscopic treatment for achalasia. POEM involves an esophageal mucosal incision followed by creation of a submucosal tunnel crossing the esophagogastric junction and myotomy before closure of the mucosal incision. Although the procedure is technically demanding and requires a certain degree of skill and competency, treatment success is high (90%) with low complication rates. Since the first described POEM in humans in 2010, it has been used increasingly at centers worldwide. This article reviews available published clinical studies demonstrating POEM efficacy and safety in order to present a proposal on how to establish a dedicated POEM program and reach base proficiency for the procedure.

Citations

Citations to this article as recorded by  
  • Esophageal bronchogenic cyst treated with submucosal tunneling endoscopic resection: two case reports
    Hui Sha, Zong-Dan Jiang
    Journal of Medical Case Reports.2024;[Epub]     CrossRef
  • Efficacy of peroral endoscopic myotomy for the treatment of functional esophagogastric junction outflow obstruction
    Madhusudhan R. Sanaka, Prabhat Kumar, Abdul Mohammed, Rajat Garg, Prashanthi N. Thota, Scott Gabbard, Yi Qin, Monisha Sudarshan, Sudish Murthy, Siva Raja
    iGIE.2023; 2(4): 464.     CrossRef
  • Per-oral Endoscopic Myotomy
    Jennifer Liu-Burdowski, Rodrigo Duarte-Chavez, Michel Kahaleh
    Journal of Clinical Gastroenterology.2022; 56(1): 16.     CrossRef
  • How to Develop a Training Program for Third-Space Endoscopic Procedures in Western Countries
    Tony S. Brar, Patrick L. Stoner, Dennis Yang, Peter V. Draganov
    Current Treatment Options in Gastroenterology.2020; 18(2): 232.     CrossRef
  • Establishing a submucosal endoscopy program in a gastrointestinal unit
    Poornima Varma, Payal Saxena
    International Journal of Gastrointestinal Intervention.2020; 9(2): 36.     CrossRef
  • Experience with Peroral Endoscopic Myotomy for Achalasia and Spastic Esophageal Motility Disorders at a Tertiary U.S. Center
    Maen Masadeh, Peter Nau, Subhash Chandra, Jagpal Klair, John Keech, Kalpaj Parekh, Rami El Abiad, Henning Gerke
    Clinical Endoscopy.2020; 53(3): 321.     CrossRef
  • POEM for Treatment of Achalasia: Our Early Experience and Technical Details of the Procedure
    Pravin R. Suryawanshi, Ashok R. Mohite
    Indian Journal of Surgery.2019; 81(5): 452.     CrossRef
  • 2007–2019: a “Third”-Space Odyssey in the Endoscopic Management of Gastrointestinal Tract Diseases
    Anastassios C. Manolakis, Haruhiro Inoue, Akiko Ueno, Yuto Shimamura
    Current Treatment Options in Gastroenterology.2019; 17(2): 202.     CrossRef
  • POEM in Latin America
    Michel Kahaleh, Ming-ming Xu, Felipe Zamarripa, Guadalupe Martínez, Vitor N. Arantes, Fernando Casas Rodriguez, Bismarck Castillo, Iman Andalib, Amy Tyberg, Arnon Lambroza, Monica Saumoy, Juan C. Carames, Alberto Baptista, Carlos Robles-Medranda, Hanna Lu
    Journal of Clinical Gastroenterology.2019; 53(8): e352.     CrossRef
  • An Update on Current Management Strategies for Achalasia and Future Perspectives
    Ioana Smith, Michel Kahaleh
    Journal of Clinical Gastroenterology.2018; 52(4): 277.     CrossRef
  • Treatment of Achalasia with Per-Oral Endoscopic Myotomy: Analysis of 50 Consecutive Patients
    Erica D. Kane, David J. Desilets, Donna Wilson, Marc Leduc, Vikram Budhraja, John R. Romanelli
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2018; 28(5): 514.     CrossRef
  • Per-oral endoscopic myotomy (with video)
    Rahul Pannala, Barham K. Abu Dayyeh, Harry R. Aslanian, Brintha K. Enestvedt, Sri Komanduri, Michael Manfredi, John T. Maple, Udayakumar Navaneethan, Mansour A. Parsi, Zachary L. Smith, Shelby A. Sullivan, Nirav Thosani, Subhas Banerjee
    Gastrointestinal Endoscopy.2016; 83(6): 1051.     CrossRef
  • POEM, the Prototypical “New NOTES” Procedure and First Successful NOTES Procedure
    Robert Bechara, Haruhiro Inoue
    Gastrointestinal Endoscopy Clinics of North America.2016; 26(2): 237.     CrossRef
  • Optical coherence tomography (OCT) prior to peroral endoscopic myotomy (POEM) reduces procedural time and bleeding: a multicenter international collaborative study
    Amit P. Desai, Amy Tyberg, Prashant Kedia, Michael S. Smith, Guadalupe Martinez, Felipe Zamarripa, Yecheskel Schneider, Helga Bertani, Marzio Frazzoni, Fernando Casas, Lauren G. Khanna, Arnon Lambroza, Nikhil A. Kumta, Ali Khan, Reem Z. Sharaiha, Sanjay S
    Surgical Endoscopy.2016; 30(11): 5126.     CrossRef
  • UEG Week 2016 Poster Presentations

    United European Gastroenterology Journal.2016; 4(5_suppl): A157.     CrossRef
  • Idiopathic (primary) achalasia: a review
    Dhyanesh A. Patel, Hannah P. Kim, Jerry S. Zifodya, Michael F. Vaezi
    Orphanet Journal of Rare Diseases.2015;[Epub]     CrossRef
  • Per-Oral Endoscopic Myotomy (POEM) After Previous Laparoscopic Heller Myotomy Is Feasible and Safe in a Porcine Model
    Luke F. Miles, Matthew J. Frelich, Jon C. Gould, Kulwinder S. Dua, Eric S. Jensen, Andrew S. Kastenmeier
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2015; 25(5): 408.     CrossRef
  • Peroral endoscopic myotomy: an evolving treatment for achalasia
    Robert Bechara, Haruo Ikeda, Haruhiro Inoue
    Nature Reviews Gastroenterology & Hepatology.2015; 12(7): 410.     CrossRef
  • 10,267 View
  • 112 Download
  • 18 Web of Science
  • 18 Crossref
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer
TOP