Per oral endoscopic myotomy with fundoplication is a technically feasible NOTES for achalasia cardia. Issue 2 (1st February 2022)

• Record Type: Journal Article
• Authors: Mandavdhare, Harshal S.; Samanta, Jayanta; Varma, Prerna; , Praveen Kumar-M; Gupta, Pankaj; Singh, Harjeet; Dutta, Usha; Kochhar, Rakesh
• Is Part Of: Minimally invasive therapy & allied technologies. Volume 31:Issue 2(2022)
• Page Start: 319
• Page End: 324
• Publication Date: 2022-02-01
• Subjects: POEM -- fundoplication -- NOTES -- technical; Endoscopy -- Periodicals; Interventional radiology -- Periodicals; Endoscopic surgery -- Periodicals; 617.05
• DOI: 10.1080/13645706.2020.1783320
• Languages: English
• ISSNs: 1364-5706

Abstract

Abstract: Background: Per-oral endoscopic myotomy (POEM) has become the standard of care for the endoscopic management of achalasia but its major long-term adverse effect has been the development of reflux-associated symptoms and sequelae. Aim: This study was conducted to assess the feasibility and reproducibility of the technique of POEM with fundoplication (POEM + F), a pure Natural Orifice Transluminal Endoscopic Surgery (NOTES) procedure in achalasia. Material and methods: Between November 2019 and January 2020, three patients with achalasia cardia were subjected to POEM + F. Various parameters such as technical feasibility, procedure time, adverse events and post-procedure follow-up were noted. Results: POEM + F was successfully completed in all three patients. Other than intra-operative capno-peritoneum, no major adverse events were noted. On follow-up at one month, maintenance of wrap was noted. Conclusion: POEM + F is a technically feasible and a reproducible pure NOTES procedure.