SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia

被引：29

作者：

Kohn, Geoffrey P. ^{[1
,13
]}

Dirks, Rebecca C. ^{[2
]}

Ansari, Mohammed T. ^{[3
]}

Clay, Jason ^{[4
]}

Dunst, Christy M. ^{[5
]}

Lundell, Lars ^{[6
,14
]}

Marks, Jeffrey M. ^{[7
]}

Molena, Daniela ^{[8
]}

Rooker, Ceciel ^{[4
]}

Saxena, Payal ^{[9
,15
]}

Swanstrom, Lee ^{[10
]}

Wong, Reuben K. ^{[11
]}

Pryor, Aurora D. ^{[12
]}

Stefanidis, Dimitrios ^{[2
]}

机构：

[1] Monash Univ, Dept Surg, Eastern Hlth Clin Sch, Clayton, Vic, Australia

[2] Indiana Univ Sch Med, Dept Surg, Indianapolis, IN 46202 USA

[3] Univ Ottawa, Sch Epidemiol & Publ Hlth, Fac Med, Ottawa, ON, Canada

[4] Int Fdn Gastrointestinal Disorders, Mt Pleasant, MI USA

[5] Oregon Clin, Portland, OR USA

[6] Karolinska Inst, Div Surg, CLINTEC, Stockholm, Sweden

[7] Univ Hosp Cleveland, Dept Surg, Med Ctr, 2074 Abington Rd, Cleveland, OH 44106 USA

[8] Mem Sloan Kettering Canc Ctr, Dept Surg, 1275 York Ave, New York, NY 10021 USA

[9] Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, Sydney, NSW, Australia

[10] IHU Strasbourg, Inst Chirugie, Strasbourg, France

[11] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore

[12] SUNY Stony Brook, Dept Surg, Stony Brook, NY 11794 USA

[13] Melbourne Upper GI Surg Grp, Melbourne, Vic, Australia

[14] Odense Univ Hosp, Dept Surg, Odense, Denmark

[15] Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2021年 / 35卷 / 05期

关键词：

Esophageal achalasia; POEM procedure; Heller myotomy; Pneumatic dilatation; Clinical practice guidelines; RECOMMENDATIONS;

D O I：

10.1007/s00464-020-08282-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background 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 American Gastrointestinal and Endoscopic Surgeons (SAGES) intend to support clinicians, patients and others in decisions about the use of POEM for treatment of achalasia. Results The panel agreed on 4 recommendations for adults and children with achalasia. Conclusions Strong recommendation for the use of POEM over PD was issued unless the concern of continued postoperative PPI use remains a key decision-making concern to the patient. Conditional recommendations included the option of using either POEM or HM with fundoplication to treat achalasia, and favored POEM over HM for achalasia subtype III.

引用

页码：1931 / 1948

页数：18

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