Skip to main content
SpringerLink
Log in

Kampfansagen in der Achalasietherapie

Gegen POEM zu früh, gegen Ballondilatation überfällig

Challenging achalasia therapy

Against POEM too early, against balloon dilatation overdue

  • Leserbrief
  • Published:
Der Chirurg Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2

Abbreviations

LHM:

laparoskopische Heller-Myotomie

POEM:

perorale endoskopische Myotomie

HRM:

High-resolution-Manometrie/hochauflösende Manometrie

ZR:

Zahnreihe

Literatur

  1. Giulini L, Dubecz A, Stein HJ (2016) Laparoskopische Heller-Myotomie nach erfolgloser POEM und multiplen Ballondilatationen. Besser spät als nie. Chirurg. doi:10.1007/s00104-016-0332-9

    PubMed  Google Scholar 

  2. Yaghoobi M, Mayrand S, Martel M, Roshan-Afshar I, Bijarchi R, Barkun A (2013) Laparoscopic Heller’s myotomy versus pneumatic dilation in the treatment of idiopathic achalasia: a meta-analysis of randomized, controlled trials. Gastrointest Endosc 78:468–475

    Article  PubMed  Google Scholar 

  3. Campos GM, Vittinghoff E, Rabl C, Takata M, Gadenstätter M, Lin F, Ciovica R (2009) Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg 249:45–57

    Article  PubMed  Google Scholar 

  4. Wang L, Li YM, Li L (2009) Meta-analysis of randomized and controlled treatment trials for achalasia. Dig Dis Sci 54:2303–2311

    Article  CAS  PubMed  Google Scholar 

  5. Schoenberg MB, Marx S, Kersten JF, Rösch T, Belle S, Kähler G, Vassiliou MC, Lüth S, von Renteln D (2013) Laparoscopic Heller myotomy versus endoscopic balloon dilatation for the treatment of achalasia: a network meta-analysis. Ann Surg 258:943–952

    Article  PubMed  Google Scholar 

  6. Perry KA, Kanji A, Drosdeck JM, Linn JG, Chan A, Muscarella P, Melvin WS (2014) Efficacy and durability of robotic Heller myotomy for achalasia: patient symptoms and satisfaction at long-term follow-up. Surg Endosc 28:3162–3167. doi:10.1007/s00464-014-3576-9

    Article  PubMed  Google Scholar 

  7. Kilic A, Schuchert MJ, Pennathur A, Gilbert S, Landreneau RJ, Luketich JD (2009) Long-term outcomes of laparoscopic Heller myotomy for achalasia. Surgery 146:826–831. doi:10.1016/j.surg.2009.06.049 (discussion 831–3)

    Article  PubMed  Google Scholar 

  8. Jeansonne LO, White BC, Pilger KE, Shane MD, Zagorski S, Davis SS, Hunter JG, Lin E, Smith CD (2007) Ten-year follow-up of laparoscopic Heller myotomy for achalasia shows durability. Surg Endosc 21(9):1498–1502

    Article  PubMed  Google Scholar 

  9. Vela MF, Richter JE, Khandwala F, Blackstone EH, Wachsberger D, Baker ME, Rice TW (2006) The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia. Clin Gastroenterol Hepatol 4(5):580–587

    Article  PubMed  Google Scholar 

  10. Berch BR, Nava RD, Torquati A, Sharp KW, Richards WO (2005) Myotomy: follow-up study of 50 patients. J Gastrointest Surg 9(9):1326–1331

    Article  PubMed  Google Scholar 

  11. Bloomston M, Durkin A, Boyce HW, Johnson M, Rosemurgy AS (2004) Early results of laparoscopic Heller myotomy do not necessarily predict long-term outcome. Am J Surg 187(3):403–407

    Article  PubMed  Google Scholar 

  12. Inoue H, Sato H, Ikeda H, Onimaru M, Sato C, Minami H, Yokomichi H, Kobayashi Y, Grimes KL, Kudo SE (2015) Per-oral endoscopic myotomy: a series of 500 patients. J Am Coll Surg. 221:256–264. doi:10.1016/j.jamcollsurg.2015.03.057.

  13. Werner YB, Costamagna G, Swanström LL, von Renteln D, Familiari P, Sharata AM, Noder T, Schachschal G, Kersten JF, Rösch T (2016) Clinical response to peroral endoscopic myotomy in patients with idiopathic achalasia at a minimum follow-up of 2 years. Gut. 65:899–906. doi:10.1136/gutjnl-2014-308649.

  14. Yaghoobi M, Mayrand S, Martel M, Roshan-Afshar I, Bijarchi R, Barkun A (2013) Laparoscopic Heller’s myotomy versus pneumatic dilation in the treatment of idiopathic achalasia: a meta-analysis of randomized, controlled trials. Gastrointest Endosc 78:468–475

    Article  PubMed  Google Scholar 

  15. von Rahden BHA, Filser J, Al-Nasser M, Germer CT (2017) Operative Therapie bei Achalasie – endoskopisch oder laparoskopisch? Vorschlag für die maßgeschneiderte Verfahrenswahl. Chirurg. doi:10.1007/s00104-016-0365-0

    PubMed  Google Scholar 

  16. Campos GM, Vittinghoff E, Rabl C, Takata M, Gadenstätter M, Lin F, Ciovica R (2009) Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg 249:45–57

    Article  PubMed  Google Scholar 

  17. Wang L, Li YM, Li L (2009) Meta-analysis of randomized and controlled treatment trials for achalasia. Dig Dis Sci 54:2303–2311

    Article  CAS  PubMed  Google Scholar 

  18. Schoenberg MB, Marx S, Kersten JF, Rösch T, Belle S, Kähler G, Vassiliou MC, Lüth S, von Renteln D (2013) Laparoscopic Heller myotomy versus endoscopic balloon dilatation for the treatment of achalasia: a network meta-analysis. Ann Surg 258:943–952

    Article  PubMed  Google Scholar 

  19. von Rahden BH, Gockel I, Germer CT (2011) Pneumatische Dilatation vs. Myotomie bei Achalasie. Was sagen uns die Daten der neuen prospektiv randomisierten Studie? Chirurg 82:839–840. doi:10.1007/s00104-011-2156-y

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Zentrum für operative Medizin (ZOM), Universitätsklinikum Würzburg, Oberdürrbacherstr. 6, 97080, Würzburg, Deutschland

    B. H. A. von Rahden

Authors
  1. B. H. A. von Rahden
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. H. A. von Rahden.

Ethics declarations

Interessenkonflikt

B. H. A von Rahden weist auf folgende Beziehung hin: Die Einführung des POEM-Verfahrens in Würzburg wurde finanziell unterstützt von der KARL STORZ GmbH.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

von Rahden, B.H.A. Kampfansagen in der Achalasietherapie. Chirurg 88, 307–309 (2017). https://doi.org/10.1007/s00104-017-0380-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00104-017-0380-9

Search

Navigation