Evidence map›Paper›PMID 38088729›Full record

Observational studyArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2023

PERORAL ENDOSCOPIC MYOTOMY FOR ACHALASIA: SAFETY PROFILE, COMPLICATIONS AND RESULTS OF 94 PATIENTS.

Francisco Paulo Ponte Prado Junior, Ivens Filizola Soares Machado, Maria Paula Lopes Ponte Prado, Renato Bruno Cavalcante Leite, Samuel Magalhães Gurgel, José Walter Feitosa Gomes, José Huygens Parente Garcia

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. ADVANCED MEGAESOPHAGUS TREATMENT: WHICH TECHNIQUE OFFERS THE BEST RESULTS? A SYSTEMATIC REVIEW.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Pooled it
  2. Article
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

7 authors at 2 institutions in 1 country.

Francisco Paulo Ponte Prado JuniorHospital Geral Dr. César Cals, Secretary of Health, Fortaleza (CE), Brazil.ORCID http://orcid.org/0009-0009-2738-8512
Ivens Filizola Soares MachadoHospital Geral Dr. César Cals, Secretary of Health, Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0002-4798-214X
Maria Paula Lopes Ponte PradoInstituto Dr. José Frota, Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0001-8512-4915
Renato Bruno Cavalcante LeiteHospital Geral Dr. César Cals, Secretary of Health, Fortaleza (CE), Brazil.ORCID http://orcid.org/0009-0003-5343-1170
Samuel Magalhães GurgelHospital Geral Dr. César Cals, Secretary of Health, Fortaleza (CE), Brazil.ORCID http://orcid.org/0009-0000-1903-3484
José Walter Feitosa GomesInstituto Dr. José Frota, Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0002-7969-4927
José Huygens Parente GarciaHospital Universitário Walter Cantídio, Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0003-4401-137X
Hospital Geral de Fortaleza · BRHospital Universitário Walter Cantídio · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchalasia is an esophageal motility disorder, with clinical presentation of dysphagia and regurgitation. This is a chronic condition with no cure. Current treatment options aim to reduce lower esophageal sphincter tone by pharmacological, endoscopic or surgical means, with the aim of improving patients' symptoms. Peroral endoscopic myotomy (POEM) is an alternative endoscopic surgery to Heller cardiomyotomy, in which the procedure is performed orally, by endoscopy, offering efficacy comparable to surgical myotomy, with relative ease and minimal invasion, without external incisions.

aimsTo study the safety of POEM by analyzing its results, adverse events and perioperative complications and the main ways to overcome them, in addition to evaluating the effectiveness of the procedure and the short-term postoperative quality of life.

methodsA qualitative and quantitative, observational and cross-sectional study that analyzed patients who underwent the POEM in a reference center, from December 2016 to December 2022, maintaining the technical standard of pre-, peri- and postoperative protocol.

resultsA total of 94 patients were included in the study, and only three had postoperative complications. The average early postoperative Eckardt score was 0.93 and the late 1.40, with a mean improvement of 7.1 in early results and 6.63 in late results (p<0.05).

conclusionsPOEM can be reproduced with an excellent safety profile, significant relief of symptoms and improvement in esophageal emptying, and in quality of life.

Indexed as

Esophageal AchalasiaMyotomyNatural Orifice Endoscopic SurgeryCross-Sectional StudiesEsophageal Sphincter, LowerEsophagoscopyHumansQuality of LifeTreatment Outcome

Identifiers

PMID38088729
PMCPMC10712919
OpenAlexW4389474105

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.