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September 10, 2025Medical alphabet

Peroral endoscopic myotomy in achalasia (one centre experience of 150 operations)

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Observational analysis reports effective POEM outcomes in patients with achalasia, suggesting minimal intraoperative complications.

POEM effectively restores oral intake in achalasia patients, with a mean post-operative dysphagia score of 1.48.
Technical difficulties occurred in 16.1% of cases due to fibrosis, slightly increasing procedure duration but not complication rates.
Complications were low, noted in just 3.33% of patients, with no predictors of fibrosis affecting outcomes.
Disease stage did not significantly influence the likelihood of intraoperative complications or esophagitis.

Drobyazgin et al. (2025) studied this question.

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