IDDF2019-ABS-0099 Short term outcomes of per oral endoscopic myotomy (POEM) as treatment for primary achalasia in the philippines. (7th June 2019)

• Record Type: Journal Article
• Authors: Valenzuela, Abigail; Santi, Esperanza Grace
• Is Part Of: Gut. Volume 68(2019)Supplement 1
• Page Start: A77
• Page End: A77
• Publication Date: 2019-06-07
• Subjects: Gastroenterology -- Periodicals; 616.33
• DOI: 10.1136/gutjnl-2019-IDDFAbstracts.143
• Languages: English
• ISSNs: 0017-5749

Abstract

Abstract : Background: To assess the short term clinical outcome of POEM. Methods: Data on consecutive patients with primary achalasia with epidemiology and clinical response were collected . Results: Twenty-five patients with a mean age of 38 were followed for 2 years. Seventy percent had no previous treatment for achalasia before POEM, 22% underwent pneumatic balloon dilatation and 8% had botulinum toxin. The mean baseline Eckardt score was 8.8. Type 2 achalasia was seen in 88%. The mean procedural time was 88.4 minutes. Total myotomy length was 13.5 cm and the average hospital stay of 5.4 days. Postoperative complication includes capnoperitoneum (16%). Clinical success was achieved with a post follow up Eckardt score of 0 and an increased BMI from 15 to 19.3 and 19.8 after 6 months and 1 year respectively. All patients had no symptoms recurrence. Four percent had reflux symptoms controlled by PPI. One (4%) out of 25 patients had endoscopically documented esophagitis after one year. Conclusions: Peroral endoscopic myotomy (POEM) is a minimally invasive procedure for the treatment of achalasia with a promising safety profile and excellent short-term clinical results. The success rate of this study was 100% with a significant improvement of Eckardt score.