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Spastic esophageal motility disorders induced significant symptoms including dysphagia, retrosternal pain and regurgitation. Per oral endoscopic myotomy (P.O.E.M.) is a novel approach to perform myotomy through the esophagus with long submucosal tunnel. This study aimed to investigate the feasibility and safety of P.O.E.M. and translate the techniques from animal study to clinical practice in human.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| POEM | Other | Per Oral Endoscopic Myotomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Per Oral Endoscopic Myotomy | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dysphagia score before and after P.O.E.M. | From 1st day after POEM to within 2 weeks after POEM |
| Measure | Description | Time Frame |
|---|---|---|
| Eckardt score before and after P.O.E.M. | Before and 1 month after POEM | |
| Post-operative pain | From Day 1 to until 2 weeks after POEM | |
| Operative time |
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Inclusion Criteria:
Exclusion Criteria:
Patients will be excluded from this study with the followings -
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chinese University of Hong Kong | Hong Kong | Hong Kong |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23043852 | Derived | Chiu PW, Wu JC, Teoh AY, Chan Y, Wong SK, Liu SY, Yung MY, Lam CC, Sung JJ, Chan FK, Lau JY, Ng EK. Peroral endoscopic myotomy for treatment of achalasia: from bench to bedside (with video). Gastrointest Endosc. 2013 Jan;77(1):29-38. doi: 10.1016/j.gie.2012.08.018. Epub 2012 Oct 6. |
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| ID | Term |
|---|---|
| D004931 | Esophageal Achalasia |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
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| Up to 24 hours |
| Hospital stay | From day of admission till up to 30 days |
| Perioperative complication | 30 days after operation |
| D004066 | Digestive System Diseases |