A novel method of endoscopic-assisted esophageal clearance in advanced achalasia.

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A novel method of endoscopic-assisted esophageal clearance in advanced achalasia.

Endosc Int Open. 2018 Jan;6(1):E86-E89

Authors: Tanaka S, Kawara F, Toyonaga T, Bechara R, Hoshi N, Abe H, Ohara Y, Ishida T, Morita Y, Umegaki E

Abstract
Background and study aims : In order to perform peroral endoscopic myotomy (POEM) safely, retained liquid and food debris must be removed before the procedure is started. We developed a novel technique using a super-slim gastroscope, and a gastric tube to remove retained food debris in achalasia patients. In this study, the safety and efficacy of this novel technique were investigated.
Patients and methods : Eleven patients with achalasia were enrolled in this study and underwent this novel method for esophageal clearance.
Results: âAll patients had complete clearance of the retained food debris using this method. The median procedure time (range) was 13 (6â-â30) minutes. There were no serious adverse events (AEs) and one minor AE of mucosal erythema due to mucosal suctioning.
Conclusion: âThis novel method for esophageal clearance is safe and effective in achalasia patients with large amounts of retained food debris.

PMID: 29344565 [PubMed]

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