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Modified peroral endoscopic myotomy: a “Push and Pull” technique

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Abstract

Background

Peroral endoscopic myotomy (POEM) is a minimally invasive yet challenging procedure for achalasia. Additional technological innovations and improvements are important for simplifying the procedure.

Methods

We report the successful use of a modified POEM procedure, which utilized a “Push and Pull” technique, on a patient with achalasia.

Results

Our modifications resulted in a short operation time of only 35 min. No complications arose during or after the procedure, up to a follow-up period of 6 months, and symptoms were significantly and quickly improved.

Conclusions

This modified procedure shortens operation time and lowers the difficulty of the operation, while leaving the safety and efficacy uncompromised.

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References

  1. Inoue H, Minami H, Kobayashi Y, Sato Y, Kaga M, Suzuki M et al (2010) Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 42:265–271

    Article  CAS  PubMed  Google Scholar 

  2. Eckardt AJ, Eckardt VF (2011) Treatment and surveillance strategies in achalasia: an update. Nat Rev Gastroenterol Hepatol 8:311–319

    Article  PubMed  Google Scholar 

  3. Li QL, Zhou PH (2015) Perspective on peroral endoscopic myotomy for achalasia: Zhongshan experience. Gut Liver 9:152–158

    Article  PubMed  PubMed Central  Google Scholar 

  4. Li QL, Chen WF, Zhou PH, Yao LQ, Xu MD, Hu JW et al (2013). Peroral endoscopic myotomy for the treatment of achalasia: a clinical comparative study of endoscopic full-thickness and circular muscle myotomy. J Am Coll Surg 217:442–451

    Article  PubMed  Google Scholar 

  5. Patti MG, Molena D, Fisichella PM, Whang K, Yamada H, Perretta S, Way LW (2001) Laparoscopic Heller myotomy and Dor fundoplication for achalasia: analysis of successes and failures. Arch Surg 136:870–877

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

Drs. Dan-Feng Zhang, Wei-Feng Chen, Quan-Lin Li, Mei-Dong Xu, Yun-Shi Zhong, Yi-Qun Zhang, and Ping-Hong Zhou have received grants from the Major Project of Shanghai Municipal Science and Technology Committee (16411950400, 14441901500, and 15JC1490300), National Natural Science Foundation of China (81470811 and 81670483), and the Project of Shanghai Municipal Commission of Health and Family Planning (201440393).

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    Authors and Affiliations

    1. Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People’s Republic of China

      Dan-Feng Zhang, Wei-Feng Chen, Mei-Dong Xu, Yun-Shi Zhong, Yi-Qun Zhang, Quan-Lin Li & Ping-Hong Zhou

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    1. Dan-Feng Zhang
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    2. Wei-Feng Chen
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    3. Mei-Dong Xu
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    4. Yun-Shi Zhong
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    5. Yi-Qun Zhang
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    6. Quan-Lin Li
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    7. Ping-Hong Zhou
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    Correspondence to Quan-Lin Li or Ping-Hong Zhou.

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    Dan-Feng Zhang, Wei-Feng Chen, Mei-Dong Xu, Yun-Shi Zhong, Yi-Qun Zhang, Quan-Lin Li, Ping-Hong Zhou have no other conflicts of interest or financial ties to disclose.

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    Dan-Feng Zhang and Wei-Feng Chen have contributed equally to this paper.

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    Video 1: Modified peroral endoscopic myotomy using the “Push and Pull” technique (WMV 31981 KB)

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    Cite this article

    Zhang, DF., Chen, WF., Xu, MD. et al. Modified peroral endoscopic myotomy: a “Push and Pull” technique. Surg Endosc 32, 2165–2168 (2018). https://doi.org/10.1007/s00464-017-5889-y

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    • DOI: https://doi.org/10.1007/s00464-017-5889-y

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