About 3,770 results

ALLMedicine™ Achalasia Center

Research & Reviews  1,295 results

How provocative tests in addition to wet swallows during high-resolution manometry can ...
Current Opinion in Gastroenterology; Sanagapalli S, Sweis R et. al.

Jun 29th, 2022 - Provocative tests have been advocated to address limitations of high-resolution manometry (HRM) with wet swallows. We describe the commonly used provocative manometric manoeuvres [rapid drink challenge (RDC), multiple rapid swallows (MRS), solid s...

ARMA (Antireflux Mucosa Ablation) in Patients With Chronic Refractory Reflux Disease

Jun 21st, 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...

The comparisons of different therapeutic modalities for idiopathic achalasia: A systema...
Medicine Shiu SI, Chang CH et. al.

Jun 18th, 2022 - : Current guidelines recommend per-oral endoscopic myotomy (POEM) and laparoscopic Heller's myotomy (LHM) as first-line treatment of idiopathic achalasia, but the optimum choice between different endoscopic and surgical modalities remains inconclu...

Peroral Endoscopic Myotomy; Novice Surgeon Learning Curve.
The American Surgeon; Bach GH, Crowell W et. al.

Jun 17th, 2022 - Peroral endoscopic myotomy (POEM) is a novel endoscopic procedure used to treat achalasia and other spastic esophageal disorders that is an alternative to Heller myotomy. We seek to define the learning curve of POEM for a foregut surgeon with no f...

Risk scoring system for the pre-procedural prediction of clinical failure of peroral en...
Endoscopy Abe H, Tanaka S et. al.

Jun 16th, 2022 - Background and study aims Peroral endoscopic myotomy (POEM) is effective for the management of achalasia and its variants. However, this treatment can be ineffective in some patients. We aimed to develop and validate a risk scoring system for pred...

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Guidelines  9 results

Chicago Classification update (version 4.0): Technical review on diagnostic criteria fo...
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 10.1016/j.jclinepi.2013.02.003 10.1016/j.jclinepi.2012.03.013 10.1016/S0140-6736(13)60651-0 10.1016/j.cgh.2016.05.036 10.1016/j.cgh.2016.08.030 10.1007/s00455-007-9116-1 10.1177/2050640620903213 10.1111/nmo.12477 10.1136/bmj.i2016 10.1136/bmj.i2089 10.7326/M16-1565 10.5056/jnm20014
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.
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.
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...

British Society of Gastroenterology guidelines for oesophageal manometry and oesophagea...
Gut Trudgill NJ, Sifrim D et. al.

Aug 2nd, 2019 - These guidelines on oesophageal manometry and gastro-oesophageal reflux monitoring supersede those produced in 2006. Since 2006 there have been significant technological advances, in particular, the development of high resolution manometry (HRM) a...

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Drugs  3 results see all →

Clinicaltrials.gov  114 results

ARMA (Antireflux Mucosa Ablation) in Patients With Chronic Refractory Reflux Disease

Jun 21st, 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...

Endoscopic Versus Laparoscopic Myotomy for Treatment of Idiopathic Achalasia

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...

ConMed Beamer Study

May 27th, 2022 - Submucosal endoscopy is a novel subset of procedures which enables endoscopist to utilize the submucosal space to perform advanced endoscopic procedures. The submucosa is the third layer of the gastrointestinal wall and it is a potential space whi...

Study on the Relationship Between Pathological Features of Achalasia and Prognosis of Per-oral Endoscopic Myotomy

May 25th, 2022 - Achalasia is the most common motility disorder of esophagus, characterized by disorders of the lower esophageal sphincter (LES). Normal peristalsis of the esophagus is eliminated and replaced by synchronous or ineffective contraction. Based on hig...

Peroral Endoscopic Myotomy (POEM) for the Treatment of Achalasia

May 24th, 2022 - Information about the subject's medical history, leading up to the need for an Achalasia treatment, the procedure itself and how the subject does after the procedure, including after the subject gets home, will be collected. This will be done by g...

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News  82 results

POEM Use for Achalasia Growing, Reimbursement Urged

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

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
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

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
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 →