ArticleSurgical endoscopy2016
Evaluation of the need for routine esophagram after peroral endoscopic myotomy (POEM).
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- ACG Clinical Guidelines: Diagnosis and Management of Achalasia.The American journal of gastroenterology · 2020Guideline
- Endoscopy versus radiology in post-procedural monitoring after peroral endoscopic myotomy (POEM).Surgical endoscopy · 2018Trial
- Evaluation of postoperative esophagram following peroral endoscopic myotomy (POEM).Surgical endoscopy · 2024Article
- Routine esophagram to detect early esophageal leakage after peroral endoscopic myotomy.Endoscopy international open · 2024Article
- The Impact of Early Nutrition Following Peroral Endoscopic Myotomy in Achalasia: A Tertiary Center Experience.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024Article
- Article
- Post-POEM Contrast-Enhanced Swallow Study: Is It Always Necessary?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Evolution and evidence-based adaptations in techniques for peroral endoscopic myotomy for achalasia.Gastrointestinal endoscopy · 2022Review
- Evaluation of timed barium esophagram after per-oral endoscopic myotomy to predict clinical response.Endoscopy international open · 2021Article
- Rethinking the need for overnight admission after peroral endoscopic myotomy (POEM): a pandemic-driven approach to the future.Endoscopy international open · 2021Article
- Factors associated with admission after implementation of a same-day discharge pathway in patients undergoing peroral endoscopic myotomy (POEM).Surgical endoscopy · 2021Article
- Same-day discharge is safe and feasible following POEM surgery for esophageal motility disorders.Surgical endoscopy · 2021Article
- Clinical impact of routine esophagram after peroral endoscopic myotomy.Gastrointestinal endoscopy · 2021Article
- Treatment of Idiopathic Achalasia with Per-Oral Esophageal Myotomy.Techniques in gastrointestinal endoscopy · 2018Article
- POEM in the Treatment of Esophageal Disorders.Current treatment options in gastroenterology · 2018Review
- Dysphagia: Thinking outside the box.World journal of gastroenterology · 2017Review
- Comprehensive Analysis of Adverse Events Associated With Per Oral Endoscopic Myotomy in 1826 Patients: An International Multicenter Study.The American journal of gastroenterology · 2017Article
- POEM vs Laparoscopic Heller Myotomy and Fundoplication: Which Is Now the Gold Standard for Treatment of Achalasia?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- POEM and Submucosal Tunneling.Current treatment options in gastroenterology · 2016Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeroral endoscopic myotomy (POEM) is a novel surgical option for the treatment of achalasia. Most centers perform a routine esophagram on postoperative day (POD) #1 to rule esophageal perforation and leaks. In this study, we sought to determine the clinical utility of routine contrast studies post-POEM.
methodsPOEM was performed using an anterior submucosal tunnel and selective myotomy of the circular muscle layer. A routine contrast esophagram was obtained on POD #1. We conducted a retrospective review of the radiologists' interpretations of these studies and compared them to patient's clinical course.
resultsSeventy-eight patients were included. Among these, two complications occurred. One patient was non-compliant with postoperative nil per os orders and developed epigastric pain suspicious for a leak that was demonstrated on esophagram. Another patient had subcutaneous emphysema on POD #1 esophagram, a finding that was also present on physical examination, without esophageal leakage. Another esophagram in an asymptomatic patient was suspicious for submucosal tunnel hematoma which prompted a return to the operating room with negative results. Overall, 56 patients had abnormal studies. POD #1 esophagram demonstrated a sensitivity of 100 % and specificity of 45 % in identifying clinically significant complications.
conclusionsIn this series, we found routine esophagram to have a high sensitivity but a very low specificity in detecting clinically significant complications. Routine esophagram after POEM may not be necessary.
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