Comparative efficacy of per-oral endoscopic myotomy and Heller myotomy in patients with achalasia: a meta-analysis
DC Field | Value | Language |
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dc.contributor.author | Park, Chan Hyuk | - |
dc.contributor.author | Jung, Da Hyun | - |
dc.contributor.author | Kim, Do Hoon | - |
dc.contributor.author | Lim, Chul-Hyun | - |
dc.contributor.author | Moon, Hee Seok | - |
dc.contributor.author | Park, Jung Ho | - |
dc.contributor.author | Jung, Hye-Kyung | - |
dc.contributor.author | Hong, Su Jin | - |
dc.contributor.author | Choi, Suck Chei | - |
dc.contributor.author | Lee, Oh Young | - |
dc.date.accessioned | 2021-08-02T10:53:07Z | - |
dc.date.available | 2021-08-02T10:53:07Z | - |
dc.date.created | 2021-05-11 | - |
dc.date.issued | 2019-10 | - |
dc.identifier.issn | 0016-5107 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/12512 | - |
dc.description.abstract | Background and Aims: Although both per-oral endoscopic myotomy (POEM) and Heller myotomy (HM) have been used for the treatment of achalasia, the comparative efficacy of POEM and HM has yet to be fully evaluated. Methods: We searched all relevant studies published up to September 2018 examining the comparative efficacy between POEM and HM. Study quality was assessed using the Newcastle-Ottawa scale. Meta-analyses for Eckardt scores, perioperative outcomes, and reflux-related outcomes were performed based on a random-effects model. Results: Fifteen studies with a total of 1213 patients were evaluated. The follow-up duration ranged from 2 to 46.2 months and from 2 to 54.2 months in the POEM and HM groups, respectively. Postoperative Eckardt scores were lower (better) in the POEM group than in the HM group (pooled standardized mean difference [SMD], - 0.58; 95% confidence interval [CI], - 1.03 to - 0.13). Length of myotomy was greater in the POEM group than in the HM group (pooled SMD, 0.63; 95% CI, 0.42-0.84). There was no difference in reflux symptoms and pathologic reflux on pH monitoring between the groups (pooled risk ratio [RR], 1.03; 95% CI, 0.61-1.73; and pooled RR, 1.22; 95% CI, 0.67-2.25, respectively). Erosive esophagitis on endoscopy tended to be less common in the HM group (pooled RR, 1.88; 95% CI, 0.98-3.62). Conclusion: Although long-term follow-up data are insufficient, the short-term efficacy of POEM was superior to that of HM. Erosive esophagitis tended to be more common in the POEM group; however, there was no difference in reflux symptoms and pathologic reflux on pH monitoring between the groups. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | MOSBY-ELSEVIER | - |
dc.title | Comparative efficacy of per-oral endoscopic myotomy and Heller myotomy in patients with achalasia: a meta-analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Chan Hyuk | - |
dc.contributor.affiliatedAuthor | Lee, Oh Young | - |
dc.identifier.doi | 10.1016/j.gie.2019.05.046 | - |
dc.identifier.scopusid | 2-s2.0-85070812027 | - |
dc.identifier.wosid | 000486385600002 | - |
dc.identifier.bibliographicCitation | GASTROINTESTINAL ENDOSCOPY, v.90, no.4, pp.546 - 558.e3 | - |
dc.relation.isPartOf | GASTROINTESTINAL ENDOSCOPY | - |
dc.citation.title | GASTROINTESTINAL ENDOSCOPY | - |
dc.citation.volume | 90 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 546 | - |
dc.citation.endPage | 558.e3 | - |
dc.type.rims | ART | - |
dc.type.docType | Review | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | TREATING ACHALASIA | - |
dc.subject.keywordPlus | POEM | - |
dc.subject.keywordPlus | FUNDOPLICATION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | QUALITY | - |
dc.subject.keywordPlus | FAILURE | - |
dc.subject.keywordPlus | SAFETY | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0016510719319388?via%3Dihub | - |
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