How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective

Q4

Autores:
Kahaleh, Michel
Tyberg, Amy
Suresh, Supriya
Lambroza, Arnon
Gaidhane, Monica
Zamarripa, Felipe
Martínez, Guadalupe Ma
Carames, Juan C
Moura, Eduardo T
Farias, Galileu F
Porfilio, Maria G
Nieto, Jose
Rey, Mario
Rodriguez Casas, Fernando
Mondragón Hernández, Oscar V
Vargas, Romulo Dario
Cañadas, Raúl
Hani, Albis
Muñoz, Guillermo
Castillo, Bismarck
Lukashok, Hannah P
Robles-Medranda, Carlos
de Moura, Eduardo G
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/59731
Acceso en línea:
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1223-1521
http://hdl.handle.net/10554/59731
https://doi.org/10.1055/a-1223-1521
Palabra clave:
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_9192c6636811960d9e9d2b65c5b1eebc
oai_identifier_str oai:repository.javeriana.edu.co:10554/59731
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
title How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
spellingShingle How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
title_short How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
title_full How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
title_fullStr How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
title_full_unstemmed How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
title_sort How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
dc.creator.fl_str_mv Kahaleh, Michel
Tyberg, Amy
Suresh, Supriya
Lambroza, Arnon
Gaidhane, Monica
Zamarripa, Felipe
Martínez, Guadalupe Ma
Carames, Juan C
Moura, Eduardo T
Farias, Galileu F
Porfilio, Maria G
Nieto, Jose
Rey, Mario
Rodriguez Casas, Fernando
Mondragón Hernández, Oscar V
Vargas, Romulo Dario
Cañadas, Raúl
Hani, Albis
Muñoz, Guillermo
Castillo, Bismarck
Lukashok, Hannah P
Robles-Medranda, Carlos
de Moura, Eduardo G
dc.contributor.author.none.fl_str_mv Kahaleh, Michel
Tyberg, Amy
Suresh, Supriya
Lambroza, Arnon
Gaidhane, Monica
Zamarripa, Felipe
Martínez, Guadalupe Ma
Carames, Juan C
Moura, Eduardo T
Farias, Galileu F
Porfilio, Maria G
Nieto, Jose
Rey, Mario
Rodriguez Casas, Fernando
Mondragón Hernández, Oscar V
Vargas, Romulo Dario
Cañadas, Raúl
Hani, Albis
Muñoz, Guillermo
Castillo, Bismarck
Lukashok, Hannah P
Robles-Medranda, Carlos
de Moura, Eduardo G
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Gastroenterología
Pontificia Universidad Javeriana. Facultad de Medicina. Hospital Universitario San Ignacio
dc.contributor.javerianateacher.none.fl_str_mv Vargas Rubio, Romulo Dario
Cañadas Garrido, Raul Antonio
dc.contributor.ascribedclinicalteacher.none.fl_str_mv Hani Amador, Albis Cecilia
description Q4
publishDate 2020
dc.date.created.none.fl_str_mv 2020-09-22
dc.date.accessioned.none.fl_str_mv 2022-05-04T13:13:27Z
dc.date.available.none.fl_str_mv 2022-05-04T13:13:27Z
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
format http://purl.org/coar/resource_type/c_6501
dc.identifier.spa.fl_str_mv https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1223-1521
dc.identifier.issn.spa.fl_str_mv 2364-3722 / 2196-9736 (Electrónico)
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/59731
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.1055/a-1223-1521
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1223-1521
http://hdl.handle.net/10554/59731
https://doi.org/10.1055/a-1223-1521
identifier_str_mv 2364-3722 / 2196-9736 (Electrónico)
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv E1392
dc.relation.citationendpage.spa.fl_str_mv E1397
dc.relation.ispartofjournal.spa.fl_str_mv Endoscopy International Open
dc.relation.citationvolume.spa.fl_str_mv 8
dc.relation.citationissue.spa.fl_str_mv 10
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.spatial.spa.fl_str_mv América Latina
institution Pontificia Universidad Javeriana
bitstream.url.fl_str_mv http://repository.javeriana.edu.co/bitstream/10554/59731/1/How%20does%20per-oral%20endoscopic%20myotomy%20compare%20to%20Heller.pdf
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Kahaleh, MichelTyberg, AmySuresh, SupriyaLambroza, ArnonGaidhane, MonicaZamarripa, FelipeMartínez, Guadalupe MaCarames, Juan CMoura, Eduardo TFarias, Galileu FPorfilio, Maria GNieto, JoseRey, MarioRodriguez Casas, FernandoMondragón Hernández, Oscar VVargas, Romulo DarioCañadas, RaúlHani, AlbisMuñoz, GuillermoCastillo, BismarckLukashok, Hannah PRobles-Medranda, Carlosde Moura, Eduardo GPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. GastroenterologíaPontificia Universidad Javeriana. Facultad de Medicina. Hospital Universitario San IgnacioVargas Rubio, Romulo DarioCañadas Garrido, Raul AntonioHani Amador, Albis CeciliaAmérica Latina2022-05-04T13:13:27Z2022-05-04T13:13:27Z2020-09-22https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1223-15212364-3722 / 2196-9736 (Electrónico)http://hdl.handle.net/10554/59731https://doi.org/10.1055/a-1223-1521instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengHow does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspectiveArtículo de revistahttp://purl.org/coar/resource_type/c_6501Q4Background and study aims Both Heller myotomy (HM) and per-oral endoscopic myotomy (POEM) are efficacious therapies for achalasia. The efficacy and safety of POEM vs HM in Latin America and specifically in patients with Chagas disease is unknown. Patients and methods Consecutive patients undergoing either HM or POEM for achalasia were included from nine Latin American centers in a prospective registry over 5 years. Technical success was defined as undergoing a successful myotomy. Clinical success was defined as achieving an Eckardt score < 3. Data on demographics, procedure info, Eckardt score, and adverse events (AEs) were collected. Student’s t test, Chi squared, and logistic regression analyses were conducted. Results One hundred thirty-three patients were included (59 male; 44 %; mean age 47). POEM was performed in 69 patients, HM in 64 patients. A total of 35 patients had Chagas disease, 17 of 69 in the POEM group, 18 of 64 in the HM group. Both groups had significant reduction in Eckardt scores (P < 0.00001), but successful initial therapy was significantly higher in the POEM group compared to the HM group (P = 0.01304). AEs were similar in both group (17 % vs 14%) and consisted of pneumothorax (n = 3 vs 2), bleeding requiring transfusion (n = 3 vs 2), and mediastinitis (n = 3 vs 1). Hospital stay was longer in the HM group than in the POEM group (P < 0.00001). In the Chagas subgroup, postprocedure Eckardt score in the POEM group was significantly reduced by 5.71 points (P < 0.00001) versus 1.56 points in the HM group (P = 0.042793). Conclusion Both HM and POEM are efficacious for achalasia, but POEM was associated with higher initial therapy success and shorter hospital stay in Latin America. In Chagas patients with achalasia, POEM was significantly more effective than HM.https://orcid.org/0000-0001-5660-6229https://orcid.org/0000-0003-2938-7731https://orcid.org/0000-0002-9219-4548Revista Internacional - IndexadaE1392E1397Endoscopy International Open810ORIGINALHow does per-oral endoscopic myotomy compare to Heller.pdfHow does per-oral endoscopic myotomy compare to Heller.pdfArtículoapplication/pdf629533http://repository.javeriana.edu.co/bitstream/10554/59731/1/How%20does%20per-oral%20endoscopic%20myotomy%20compare%20to%20Heller.pdf8dab7e6224ae51aab7bbfd4ee3a07da8MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/59731/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILHow does per-oral endoscopic myotomy compare to Heller.pdf.jpgHow does per-oral endoscopic myotomy compare to Heller.pdf.jpgIM Thumbnailimage/jpeg10909http://repository.javeriana.edu.co/bitstream/10554/59731/3/How%20does%20per-oral%20endoscopic%20myotomy%20compare%20to%20Heller.pdf.jpg9610d7ef0487c1ad14700843001bca30MD53open access10554/59731oai:repository.javeriana.edu.co:10554/597312022-05-05 03:06:22.574Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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