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Case Report
Double-Scope Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia: The First Trial of a New Double-Scope POEM
Hee Jin Hong, Ga Won Song, Weon Jin Ko, Won Hee Kim, Ki Baik Hahm, Sung Pyo Hong, Joo Young Cho
Clin Endosc 2016;49(4):383-386.   Published online March 15, 2016
DOI: https://doi.org/10.5946/ce.2015.108
AbstractAbstract PDFPubReaderePub
With the accumulation of clinical trials demonstrating its efficacy and safety, peroral endoscopic myotomy (POEM) has emerged as a less invasive treatment option for esophageal achalasia compared with laparoscopic Heller myotomy. However, the difficulty in determining the exact extent of myotomy, a critical factor associated with the success and safety of the procedure, remains a limitation. Although the various endoscopic landmarks and ancillary techniques have been applied, none of these has been proven sufficient. As a solution for this limitation, the double-scope POEM technique with a second endoscope to assure the exact length of the submucosal tunnel has been applied since 2014. Before double-scope POEM was introduced, the second endoscope was applied only to confirm the accuracy of the procedure. In the present study, we performed double-scope POEM in the treatment of esophageal achalasia through a novel procedure of simultaneous application of the second endoscope to assist in the conventional POEM procedure.

Citations

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  • Peroral Endoscopic Myotomy (POEM) in Children: A State of the Art Review
    Ali A. Mencin, Amrita Sethi, Monique T. Barakat, Diana G. Lerner
    Journal of Pediatric Gastroenterology & Nutrition.2022; 75(3): 231.     CrossRef
  • Per-oral endoscopic myotomy (POEM) for a sigmoid type of achalasia: short-term outcomes and changes in the esophageal angle
    Shota Maruyama, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Chiaki Sato, Kai Takaya, Takuro Konno, Takeshi Naitoh, Michiaki Unno, Takashi Kamei
    Surgical Endoscopy.2020; 34(9): 4124.     CrossRef
  • Characteristics of a Subset of Achalasia With Normal Integrated Relaxation Pressure
    Eunju Kim, In Kyung Yoo, Dong Keon Yon, Joo Young Cho, Sung Pyo Hong
    Journal of Neurogastroenterology and Motility.2020; 26(2): 274.     CrossRef
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    Current Treatment Options in Gastroenterology.2019; 17(2): 202.     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
  • Two penetrating vessels as a novel indicator of the appropriate distal end of peroral endoscopic myotomy
    Shinwa Tanaka, Fumiaki Kawara, Takashi Toyonaga, Haruhiro Inoue, Robert Bechara, Namiko Hoshi, Hirohumi Abe, Yoshiko Ohara, Tsukasa Ishida, Yoshinori Morita, Eiji Umegaki
    Digestive Endoscopy.2018; 30(2): 206.     CrossRef
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