Training, Certification, and Credentialing in Gynecologic Operative Endoscopy

1997 ◽  
pp. 10-15
Author(s):  
Ricardo Azziz
Keyword(s):  
Operative Endoscopy

TP6.2.14 Outcome of POEM (Per-oral endoscopic myotomy) for achalasia

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Annabelle White ◽  
Woochan Hwang ◽  
Alekhaya Kotta ◽  
Daniel Beasley ◽  
Katarina Chow ◽  
...  
Keyword(s):  
Clinical Success ◽  
Pneumatic Dilatation ◽  
Demeester Score ◽  
First Line Therapy ◽  
Eckardt Score ◽  
Operative Endoscopy ◽  
Endoscopic Myotomy ◽  
Oesophageal Achalasia ◽  
Per Oral

Abstract Aims Laparoscopic Heller’s myotomy (LHM) has been the surgical gold standard for treatment of oesophageal achalasia. Peroral endoscopic myotomy (POEM) has been proposed as an alternative technique. The aim of this study was to assess the safety and efficacy of POEM for achalasia in our unit. Methods We have operated on 202 patients for oesophageal achalasia since 2005: 107 had LHM, 86 had POEM, and 9 had an oesophagectomy. We assessed the clinical outcome of POEM comparing pre- and postoperative endoscopic, radiologic and manometric findings, as well as Eckardt-, GERD- and DsQoL score for achalasia. All follow-up patients were offered endoscopy. Results Data were completed for the first 45 POEM patients. The average age was 45 years. 18 patients (40%) had prior achalasia treatment. The median hospital stay was 2 days (2-5). There was no mortality, but 4 patients (9%) had post-operative complications. The median follow-up was 24 months (12-49). Clinical success (Eckardt score ≤ 3) was achieved in 39 patients (87%). Thirteen patients (29%) were taking PPIs for chest symptoms. Eleven of these underwent pH studies of whom only 1 had a DeMeester score > 14.5. Of the 24 patients who had post-operative endoscopy, 40% was diagnosed with oesophagitis grade A, yet only 5 of them were symptomatic. Conclusions POEM appears to be safe and effective and warrants consideration as first-line therapy in expert achalasia centres. Longer term randomized studies comparing the outcomes of POEM with LHM and pneumatic dilatation will determine its place in the treatment of achalasia.

Book Review: Operative Endoscopy, past and Future

1980 ◽  
Vol 25 (2) ◽  
pp. 180-181
Author(s):  
D. C. Carter
Keyword(s):  
Operative Endoscopy

Operative Endoscopy from the Point of View of the Pediatrician

Endoscopy ◽  
1983 ◽  
Vol 15 (S 1) ◽  
pp. 233-234
Author(s):  
E.V. Klimanskaya ◽  
O.D. Graniko ◽  
Y. Mirin
Keyword(s):  
Point Of View ◽  
Operative Endoscopy

Management of Endometriosis—A Two Years Study at a Tertiary Care Center

2010 ◽  
Vol 2 (1) ◽  
pp. 41-43
Author(s):  
K Kapur ◽  
M Biswas ◽  
GS Joneja ◽  
R Sharma ◽  
P Talwar
Keyword(s):  
Pelvic Pain ◽  
Ovulation Induction ◽  
Care Center ◽  
Tertiary Care ◽  
Expectant Management ◽  
Male Factor ◽  
Number Of Patients ◽  
Tertiary Center ◽  
Operative Endoscopy ◽  
Ivf Et

ABSTRACT Objective The purpose of this study was to analyze the line of treatment and its outcome in cases of endometriosis presenting with infertility and pelvic pain at a tertiary center having facilities of operative endoscopy and assisted reproductive technology. Methods All cases of Infertility and pelvic pain over a period of two years were subjected to laparoscopy. Patients who were diagnosed with endometriosis were classified into categories. Different system of classification was used for patients of Infertility and pelvic pain. A large number of patients were subjected to expectant management. Selected cases underwent IUI, IVF-ET and ICSI. The numbers of pregnancies were recorded in these cases. Patients with pelvic pain were treated with hormonal therapy. Results 1038 patients were studied over a period of 2 years out of which 983 presented with Infertility and 55 with pelvic pain. 294 cases of infertility were detected and biopsy proven to be having endometriosis and 20 of the 55 cases of pelvic pain were also detected to have endometriosis. In the infertility group 76 patients were found to have bilateral tubal block. 215 patients were detected to have various grades of lesions but with patent bilateral/unilateral tubes. 6 patients with blocked tubes and 11 patients with patent tube/tubes also were associated with male factor infertility. 88 patients with blocked tubes and/or male factor received treatment with IVF-ET/ICSI. 178 patients underwent ovulation induction and 28 were simply observed. There were 42.8% pregnancies in the observation group, 49.4% in the ovulation induction-IUI group and 45.4% in IVF-ET/ICSI group. Conclusion 30% of the cases of Infertility had endometriosis. Following operative endoscopy treatment for all cases, the occurrence of pregnancy was similar in patients who were simply observed and those who received treatment with ovulation induction-IUI. Those with mechanical problems of sperm-egg union are best treated with IVF-ET where facilities exist.

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