PMID- 29344565
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220311
IS  - 2364-3722 (Print)
IS  - 2196-9736 (Electronic)
IS  - 2196-9736 (Linking)
VI  - 6
IP  - 1
DP  - 2018 Jan
TI  - A novel method of endoscopic-assisted esophageal clearance in advanced achalasia.
PG  - E86-E89
LID - 10.1055/s-0043-122229 [doi]
AB  - BACKGROUND AND STUDY AIMS: In order to perform peroral endoscopic myotomy (POEM) 
      safely, retained liquid and food debris must be removed before the procedure is 
      started. We developed a novel technique using a super-slim gastroscope, and a 
      gastric tube to remove retained food debris in achalasia patients. In this study, 
      the safety and efficacy of this novel technique were investigated. PATIENTS AND 
      METHODS: Eleven patients with achalasia were enrolled in this study and underwent 
      this novel method for esophageal clearance. RESULTS:  All patients had complete 
      clearance of the retained food debris using this method. The median procedure 
      time (range) was 13 (6 - 30) minutes. There were no serious adverse events (AEs) 
      and one minor AE of mucosal erythema due to mucosal suctioning. CONCLUSION:  This 
      novel method for esophageal clearance is safe and effective in achalasia patients 
      with large amounts of retained food debris.
FAU - Tanaka, Shinwa
AU  - Tanaka S
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Kawara, Fumiaki
AU  - Kawara F
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Toyonaga, Takashi
AU  - Toyonaga T
AD  - Department of Endoscopy, Kobe University Hospital, Kobe, Japan.
FAU - Bechara, Robert
AU  - Bechara R
AD  - Gastrointestinal Diseases Research Unit, Queens University, Ontario, Canada.
FAU - Hoshi, Namiko
AU  - Hoshi N
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Abe, Hirofumi
AU  - Abe H
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Ohara, Yoshiko
AU  - Ohara Y
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Ishida, Tsukasa
AU  - Ishida T
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Morita, Yoshinori
AU  - Morita Y
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
FAU - Umegaki, Eiji
AU  - Umegaki E
AD  - Division of Gastroenterology, Department of Internal Medicine, Graduate School of 
      Medicine, Kobe University, Kobe, Japan.
LA  - eng
PT  - Journal Article
DEP - 20180116
PL  - Germany
TA  - Endosc Int Open
JT  - Endoscopy international open
JID - 101639919
PMC - PMC5770261
COIS- Competing interests None
EDAT- 2018/01/19 06:00
MHDA- 2018/01/19 06:01
PMCR- 2018/01/01
CRDT- 2018/01/19 06:00
PHST- 2017/05/21 00:00 [received]
PHST- 2017/09/26 00:00 [accepted]
PHST- 2018/01/19 06:00 [entrez]
PHST- 2018/01/19 06:00 [pubmed]
PHST- 2018/01/19 06:01 [medline]
PHST- 2018/01/01 00:00 [pmc-release]
AID - 10.1055/s-0043-122229 [doi]
PST - ppublish
SO  - Endosc Int Open. 2018 Jan;6(1):E86-E89. doi: 10.1055/s-0043-122229. Epub 2018 Jan 
      16.