Evidence map›Paper›PMID 28840505›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2017

Anesthesia in per-oral endoscopic myotomy: A large tertiary care centre experience.

Santosh Darisetty, Zaheer Nabi, Mohan Ramchandani, Radhika Chavan, Rama Kotla, D Nageshwar Reddy

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05602272 (Respiratory and Hemodynamic Implications of Endoscopic Myotomy of the Esophagus and Stomach), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05602272 unknown statusnot on this mapstarted 2022, after this paper: background citation

Respiratory and Hemodynamic Implications of Endoscopic Myotomy of the Esophagus and Stomach (POEM/GPOEM)

TypeobservationalSponsorCentre Hospitalier Universitaire VaudoisRan2022 to 2025Enrolled60ConditionsEsophageal Achalasia, GastroparesisArmsGeneral anesthesia for per-oral endoscopic myotomy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. The Ventilatory Changes of Pediatric Peroral Endoscopic Myotomy Patients.Turkish journal of anaesthesiology and reanimation · 2024
    Article
  3. Outcomes of submucosal tunneling endoscopic resection in upper gastrointestinal sub-epithelial tumors.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Article
  4. Review
  5. Anesthesia for Per-oral endoscopic myotomy (POEM) - not so poetic!Journal of anaesthesiology, clinical pharmacology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Santosh DarisettyAsian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.
Zaheer NabiAsian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India. zaheernabi1978@gmail.com.ORCID http://orcid.org/0000-0003-2713-4781
Mohan RamchandaniAsian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.
Radhika ChavanAsian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.
Rama KotlaAsian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.
D Nageshwar ReddyAsian Institute of Gastroenterology, Somajiguda, Hyderabad, 500 082, India.
Asian Institute of Gastroenterology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPer-oral endoscopic myotomy (POEM) is safe and efficacious for the management of achalasia cardia (AC). POEM is usually performed under general anesthesia in an endoscopy suite or operating theatre. The current study was conducted with the aim to analyse anesthetic management of patients with AC who underwent POEM at our institution.

methodsWe retrospectively analysed the data of patients with AC who underwent POEM at our institution from January 2013 to September 2016. All cases were performed in an endoscopy suite under supervision of an anesthesia management team. Pre-procedure endoscopic evacuation of esophagogastric contents was done in all cases. Management strategies used for gas-related adverse events and outcomes were assessed.

resultsFour hundred and eighty patients (median age 40 years, range 4-77 years) underwent POEM during the study period. The sub-types of AC were type I (163), type II (297), and type III (20). POEM was successfully completed in 97.5% patients. Gas-related events were noted in 30.6% cases including-capno-thorax in 1%, capno-peritoneum in 12.3%, retroperitoneal air in 16.5%, capno-mediastinum in 0.2%, and capno-pericardium in 0.4% patients. Significant rise in end tidal CO2 (> 45) and peak airway pressure were observed in 8.1% and 5.4% cases, respectively. Drainage was required in 12.3% patients. There was no occurrence of aspiration during or after POEM.

conclusionsPOEM could be safely performed in an endoscopy suite under supervision of an expert anesthesia management team. Gas-related adverse events were common during POEM and could be managed with a standardized approach.

Indexed as

Anesthesia, GeneralAdolescentAdultAgedChildChild, PreschoolEndoscopy, GastrointestinalEsophageal AchalasiaFemaleGasesHumansMaleMiddle AgedMyotomyPerioperative CarePostoperative ComplicationsGasesEsophageal achalasiaPer-oral endoscopic myotomyPneumomediastinumPneumoperitoneumPneumothorax

Identifiers

PMID28840505
OpenAlexW2746155056

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.