ArticleAnnals of thoracic surgery short reports2025
The Role of Intraoperative Functional Lumen Imaging in Peroral Endoscopic Myotomy and Laparoscopic Heller Myotomy.
Article in Annals of thoracic surgery short reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Background: Peroral endoscopic myotomy (POEM) and laparoscopic Heller myotomy (LHM) are 2 common treatments for achalasia. Endoluminal functional lumen imaging probe (EndoFLIP; Medtronic) technology allows for real-time esophagogastric junction measurements intraoperatively before and after myotomy. We hypothesize that POEM would result in improved distensibility over LHM given its longer myotomy length. Methods: A retrospective cohort study of prospectively collected data from consecutive patients with achalasia who underwent either POEM or LHM at a single-center tertiary care center between 2018 and 2019 was performed. Premyotomy and postmyotomy EndoFLIP measurements and outcomes such as length of stay and 30-day readmissions were compared using χ Results: Data from 65 patients with achalasia were included (19 LHM and 46 POEM), and 57 patients were excluded for lack of EndoFLIP data. The POEM cohort was significantly older ( Conclusions: Similar increases in EndoFLIP measurements were seen intraoperatively during POEM and LHM. Longer-term quality of life data should be used to correlate with EndoFLIP measurements to understand the benefits of myotomy.
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