ArticleACG case reports journal2025
Management of Peroral Endoscopic Myotomy Leak With an Esophageal Fully Covered Self-Expandable Metal Stents.
Article in ACG case reports journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Endoscopic stent placement for perforation after pneumatic dilation in achalasia.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Achalasia type II is a rare esophageal motility disorder characterized by impaired relaxation of the lower esophageal sphincter. Peroral endoscopic myotomy (POEM) is a safe and minimally invasive procedure for achalasia. Although rare, complications such as esophageal perforation and pleural effusion can arise. This case study presents a 69-year-old woman with achalasia type II who developed esophageal perforation and empyema after POEM. Initial management with hemostatic clips was insufficient due to stent migration, necessitating a 135-mm fully covered self-expandable metal stent. Due to persistent leakage due to stent migration, a mega stent was ultimately placed, successfully sealing the esophageal leak. This report highlights the efficacy of mega stents as a viable option for managing recurrent esophageal leaks and complications post-POEM, especially in cases where stent migration complicates traditional approaches.
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