Tu1127 PERORAL ENDOSCOPIC MYOTOMY FOR PATIENTS WITH ESOPHAGEAL EPIPHRENIC DIVERTICULUM AND ESOPHAGEAL MOTILITY DISORDER

2019 ◽  
Vol 89 (6) ◽  
pp. AB570
Author(s):  
Shinwa Tanaka ◽  
Masato Kinoshita ◽  
Hiroya Sakaguchi ◽  
Hirofumi Abe ◽  
Ryusuke Ariyoshi ◽  
...  
Keyword(s):  
Esophageal Motility ◽  
Motility Disorder ◽  
Peroral Endoscopic Myotomy ◽  
Epiphrenic Diverticulum ◽  
Esophageal Motility Disorder ◽  
Endoscopic Myotomy

scholarly journals Achalasia: current therapeutic options

2017 ◽  
Vol 8 (6-7) ◽  
pp. 101-108 ◽  
Author(s):  
Zubin Arora ◽  
Prashanthi N. Thota ◽  
Madhusudhan R. Sanaka
Keyword(s):  
Esophageal Motility ◽  
Heller Myotomy ◽  
Symptomatic Relief ◽  
Treatment Options ◽  
Motility Disorder ◽  
Pneumatic Dilation ◽  
Esophageal Peristalsis ◽  
Esophageal Motility Disorder ◽  
Endoscopic Myotomy ◽  
Esophageal Sphincter

Achalasia is a chronic incurable esophageal motility disorder characterized by impaired lower esophageal sphincter (LES) relaxation and loss of esophageal peristalsis. Although rare, it is currently the most common primary esophageal motility disorder, with an annual incidence of around 1.6 per 100,000 persons and prevalence of around 10.8/100,000 persons. Symptoms of achalasia include dysphagia to both solids and liquids, regurgitation, aspiration, chest pain and weight loss. As the underlying etiology of achalasia remains unclear, there is currently no curative treatment for achalasia. Management of achalasia mainly involves improving the esophageal outflow in order to provide symptomatic relief to patients. The most effective treatment options for achalasia include pneumatic dilation, Heller myotomy and peroral endoscopic myotomy (POEM), with the latter increasingly emerging as the treatment of choice for many patients. This review focusses on evidence for current and emerging treatment options for achalasia with a particular emphasis on POEM.

scholarly journals High Resolution Impedance Manometry: A Necessity or Luxury in Esophageal Motility Disorder?

2018 ◽  
Vol 19 ◽  
pp. 998-1003
Author(s):  
Han Sin Boo ◽  
Ian Chik ◽  
Chai Soon Ngiu ◽  
Shyang Yee Lim ◽  
Razman Jarmin
Keyword(s):  
High Resolution ◽  
Esophageal Motility ◽  
Motility Disorder ◽  
Esophageal Motility Disorder

scholarly journals Experience with Peroral Endoscopic Myotomy for Achalasia and Spastic Esophageal Motility Disorders at a Tertiary U.S. Center

2020 ◽  
Vol 53 (3) ◽  
pp. 321-327 ◽  
Author(s):  
Maen Masadeh ◽  
Peter Nau ◽  
Subhash Chandra ◽  
Jagpal Klair ◽  
John Keech ◽  
...  
Keyword(s):  
Esophageal Motility ◽  
Peroral Endoscopic Myotomy ◽  
Esophageal Motility Disorders ◽  
Motility Disorders ◽  
Endoscopic Myotomy

scholarly journals Esophageal Manometry with Provocative Testing in Patients with Noncardiac Angina-Like Chest Pain

1991 ◽  
Vol 5 (2) ◽  
pp. 51-57 ◽  
Author(s):  
William G Paterson ◽  
Delia A Marciano-D’Amore ◽  
Ivan T Beck ◽  
Laurington R Da Costa
Keyword(s):  
Chest Pain ◽  
Esophageal Motility ◽  
Esophageal Manometry ◽  
Motility Disorder ◽  
Diffuse Esophageal Spasm ◽  
Esophageal Motility Disorder ◽  
Nutcracker Esophagus ◽  
Hypertensive Lower Esophageal Sphincter ◽  
Acid Perfusion ◽  
Provocative Testing

In a five year period 238 of 594 esophageal manometric studies performed in the authors’ laboratory were done on patients whose major reason for referral was noncardiac angina-like chest pain. Standard eophageal manometry was performed followed by an acid-antacid perfusion period (Bernstein test) and then subcutaneous bethanechol (80 μg/kg to a maximum of 5 mg) was adminstered. Baseline manometry was normal in 38% of patients and was diagnostic of ‘nutcracker’ esophagus, nonspecific esophageal motility disorder, diffuse esophageal spasm and isolated hypertensive lower esophageal sphincter in 24%, 19%, 16% and 3% of patients, respectively. Ninety-six of 238 patients (40%) experienced reproduction of their presenting angina-like chest pain during acid perfusion. In 80% of these patients there were associated esophageal motor abnormal ilies induced by the acid perfusion. Thirty-six of 212 (17%) experienced pain reproduction following the injection of bethanechol; however, 16 of these had already had their presenting chest pain reproduced during the acid perfusion study. In two-thirds of the patients with pain reproduction following bechanechol there was an associated bethanechol-induced esophageal motility disorder. Overall 49% of patients had their pain reproduced during provocative testing. The acid perfusion test reproduced the pain much more frequently than bethanechol simulation. This study reaffirms the value of esophageal manometry and provocative testing in this group of patients.

scholarly journals Peroral endoscopic myotomy in a case of recurrent epiphrenic diverticulum after surgery

Endoscopy ◽  
2020 ◽  
Author(s):  
Margherita Pizzicannella ◽  
Andrea Spota ◽  
Bernard Dallemagne ◽  
Lee Swanström ◽  
Jacques Marescaux ◽  
...  
Keyword(s):  
Peroral Endoscopic Myotomy ◽  
Epiphrenic Diverticulum ◽  
Endoscopic Myotomy
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