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About 3,818 results

ALLMedicine™ Achalasia Center

Research & Reviews  1,312 results

Through-the-scope suture closure of peroral endoscopic myotomy mucosal incision sites.
https://doi.org/10.1055/a-1890-4917
Endoscopy Zhang LY, Bejjani M et. al.

Aug 5th, 2022 - BACKGROUND : Peroral endoscopic myotomy (POEM) is now widely used for esophageal motility disorders including achalasia. Closure of the mucosal incision site is a critical step of the procedure. We evaluated the use of a novel through-the-scope (T...

Recurrent pulmonary infection leads to the diagnosis of triple A syndrome: a case report.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336103
Journal of Medical Case Reports; Ali S, Murad MS et. al.

Jul 29th, 2022 - Triple A syndrome is a very uncommon disease marked by a triad of adrenocorticotrophic hormone (ACTH)-resistant features: adrenal insufficiency, alacrimia, and achalasia. It presents in several clinical forms with undetermined incidence and shows ...

Prospective Collection of Outcome Data Post POEM-TIF Procedure
https://clinicaltrials.gov/ct2/show/NCT04052581

Jul 29th, 2022 - Per Oral Endoscopic Myotomy has been established as a safe and effective treatment of Achalasia type I and II; however, it is limited by post-procedure gastroesophageal reflux. Transoral Incisionless Fundoplication (TIF) has been introduced as the...

ARAT for Reflux Disease After Peroral Endoscopic Myotomy in Patients With Achalasia
https://clinicaltrials.gov/ct2/show/NCT04065516

Jul 22nd, 2022 - Achalasia is the inability of the lower esophageal sphincter to relax in the context of dysfunction of esophageal peristalsis. Peroral endoscopic myotomy for the treatment of achalasia has an efficacy above 90%, being comparable with Heller's myot...

Comparison of Endoscopic Dilatation and Heller's Myotomy for Treating Esophageal Achala...
https://doi.org/10.1016/j.jpeds.2022.07.010
The Journal of Pediatrics; Nicolas A, Aumar M et. al.

Jul 20th, 2022 - To compare the efficacy of, and complications from the two main treatments for achalasia are endoscopic dilatation and surgical cardiomyotomy (Heller's myotomy) STUDY DESIGN: We retrospectively collected data on children treated for achalasia over...

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Guidelines  10 results

AGA Clinical Practice Update on the Personalized Approach to the Evaluation and Managem...
https://doi.org/10.1016/j.cgh.2022.01.025
Clinical Gastroenterology and Hepatology : the Official C... Yadlapati R, Gyawali CP et. al.

Feb 6th, 2022 - As many as one-half of all patients with suspected gastroesophageal reflux disease (GERD) do not derive benefit from acid suppression. This review outlines a personalized diagnostic and therapeutic approach to GERD symptoms. The Best Practice Advi...

Chicago Classification update (version 4.0): Technical review on diagnostic criteria fo...
https://doi.org/10.1111/nmo.14182
Neurogastroenterology and Motility : the Official Journal... Khan A, Yadlapati R et. al.

Jul 1st, 2021 - The recommended diagnostic criteria for achalasia have been recently updated by Chicago Classification version 4.0 (CCv4.0), the widely accepted classification scheme for esophageal motility disorders using metrics from high-resolution manometry (...

SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of ...
https://doi.org/10.1007/s00464-020-08282-0
Surgical Endoscopy; Kohn GP, Dirks RC et. al.

Feb 11th, 2021 - Peroral endoscopic myotomy (POEM) is increasingly used as primary treatment for esophageal achalasia, in place of the options such as Heller myotomy (HM) and pneumatic dilatation (PD) OBJECTIVE: These evidence-based guidelines from the Society of ...

ACG Clinical Guidelines: Diagnosis and Management of Achalasia.
https://doi.org/10.14309/ajg.0000000000000731
The American Journal of Gastroenterology; Vaezi MF, Pandolfino JE et. al.

Aug 11th, 2020 - Achalasia is an esophageal motility disorder characterized by aberrant peristalsis and insufficient relaxation of the lower esophageal sphincter. Patients most commonly present with dysphagia to solids and liquids, regurgitation, and occasional ch...

ASGE guideline on the management of achalasia.
https://doi.org/10.1016/j.gie.2019.04.231
Gastrointestinal Endoscopy; Khashab MA, Vela MF et. al.

Dec 17th, 2019 - Achalasia is a primary esophageal motor disorder of unknown etiology characterized by degeneration of the myenteric plexus, which results in impaired relaxation of the esophagogastric junction (EGJ), along with the loss of organized peristalsis in...

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Drugs  4 results see all →

Clinicaltrials.gov  114 results

Prospective Collection of Outcome Data Post POEM-TIF Procedure
https://clinicaltrials.gov/ct2/show/NCT04052581

Jul 29th, 2022 - Per Oral Endoscopic Myotomy has been established as a safe and effective treatment of Achalasia type I and II; however, it is limited by post-procedure gastroesophageal reflux. Transoral Incisionless Fundoplication (TIF) has been introduced as the...

ARAT for Reflux Disease After Peroral Endoscopic Myotomy in Patients With Achalasia
https://clinicaltrials.gov/ct2/show/NCT04065516

Jul 22nd, 2022 - Achalasia is the inability of the lower esophageal sphincter to relax in the context of dysfunction of esophageal peristalsis. Peroral endoscopic myotomy for the treatment of achalasia has an efficacy above 90%, being comparable with Heller's myot...

ARMA (Antireflux Mucosa Ablation) in Patients With Chronic Refractory Reflux Disease
https://clinicaltrials.gov/ct2/show/NCT05425771

Jul 14th, 2022 - Prospective, non-controlled, monocentric pilot study in patients with therapy-refractory reflux symptoms under proton pump inhibitor (PPI) therapy or intolerance of the necessary therapy or rapid recurrence of the symptoms with tapering therapy. T...

Outcome Analysis of POEM and Endoluminal Therapies
https://clinicaltrials.gov/ct2/show/NCT03123835

Jul 8th, 2022 - Over the last few years there have been numerous advances in the use of endoscopic equipment and related treatments in the identification and intervention of gastrointestinal diseases. Many of these treatments using flexible endoscopes have either...

Endoscopic Versus Laparoscopic Myotomy for Treatment of Idiopathic Achalasia
https://clinicaltrials.gov/ct2/show/NCT01601678

Jun 1st, 2022 - Achalasia is considered a primary esophageal motility disorder which is defined as an insufficient relaxation of the lower esophageal sphincter. Incomplete lower esophageal sphincter (LES) relaxation, increased LES tone, and aperistalsis of the es...

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News  82 results

POEM Use for Achalasia Growing, Reimbursement Urged
https://www.medscape.com/viewarticle/972973

May 2nd, 2022 - NEW YORK (Reuters Health) - POEM (per-oral endoscopic myotomy) is increasingly being used to manage achalasia, but reimbursement is spotty, and healthcare utilization and costs should be compared with other treatment options, researchers say. "Our...

Not All Good News When It Comes to Surging POEM Use for Achalasia
https://www.medpagetoday.com/gastroenterology/generalgastroenterology/98359

Apr 22nd, 2022 - Use of per-oral endoscopic myotomy (POEM) for esophageal achalasia increased dramatically during the past decade, a retrospective study found, and while the procedure appears just as safe as laparoscopic Heller myotomy (LHM), it led to greater hea...

After POEM, FLIP matches HRM for measuring patient response
https://www.mdedge.com/internalmedicine/article/248027/gastroenterology/after-poem-flip-matches-hrm-measuring-patient
Jim Kling

Oct 28th, 2021 - LAS VEGAS – Functional lumen imaging probe (FLIP) was equivalent to high-resolution manometry (HRM) in predicting clinical response by Eckardt score 6 months or more after per oral endoscopic myotomy (POEM) for achalasia or esophagogastric junctio.

Experts Recommend Key Modifications to High-Resolution Manometry
https://www.medscape.com/viewarticle/949136

Apr 13th, 2021 - The field of esophagology was transformed by the pioneering work of the late Dr Ray Clouse, who developed color topographic plots to more accurately assess esophageal motility. Clouse's spirit of innovation in this area has since been taken up by ...

Normal FLIP findings usually ruled out esophageal motility disorders
https://www.mdedge.com/internalmedicine/article/234665/gastroenterology/normal-flip-findings-usually-ruled-out-esophageal
Amy Karon

Jan 15th, 2021 - Most patients with normal findings on functional luminal imaging probe (FLIP) showed no clinical evidence of a major esophageal motor disorder, even when their high-resolution manometry (HRM) test results were abnormal, according to the results of.

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Patient Education  5 results see all →