Per oral endoscopic myotomy (POEM) in pediatric patients with esophageal achalasia: First Latin-American experience

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dc.contributor.authorSaez, Josefina
dc.contributor.authorMejia, Ricardo
dc.contributor.authorPattillo, Juan Carlos
dc.contributor.authorVuletin, Fernando
dc.contributor.authorMonrroy, Hugo
dc.contributor.authorJaime, Francisca
dc.contributor.authorSharp, Allan
dc.date.accessioned2025-01-20T22:21:52Z
dc.date.available2025-01-20T22:21:52Z
dc.date.issued2021
dc.description.abstractBackground: Achalasia is the most common primary motor disorder of the esophagus, but its incidence in pediatric patients is low. Laparoscopic Heller myotomy (LHM) is the current surgical standard of care treatment. Per-oral endoscopic myotomy (POEM) has emerged as a safe and effective therapeutic alternative in adult patients. We herein report the outcomes of a cohort of pediatric patients with achalasia treated by POEM at a Chilean medical center. Methods: This is a retrospective analysis of prospectively collected data on children who underwent POEM for esophageal achalasia. Clinical follow-up was evaluated by recording the Eckardt score, a high-resolution esophageal manometry (HREM) three months after the procedure, and an annual upper gastrointestinal endoscopy.
dc.description.abstractResults: Five patients with esophageal achalasia confirmed by HREM and with a mean age of 11 (5 to 15) years underwent POEM between 2017 and 2019. One patient had a previous LHM. No morbidity or mortality was observed. All patients resolved their dysphagia and no patient required further interventions. Mean Eckardt score reduced from 10 points preoperatively to 1 point postoperatively. Two patients currently have mild esophagitis (confirmed by endoscopy).
dc.description.abstractConclusion: Our results support the previously reported safety and effectiveness of POEM. Longer follow-up and larger cohorts will be important to confirm its role in the treatment of children with esophageal achalasia. Type of study: Treatment study. Level of evidence: Level IV.
dc.description.abstract(c) 2020 Elsevier Inc. All rights reserved.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jpedsurg.2020.06.007
dc.identifier.eissn1531-5037
dc.identifier.issn0022-3468
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2020.06.007
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94662
dc.identifier.wosidWOS:000649635500013
dc.issue.numero4
dc.language.isoen
dc.pagina.final710
dc.pagina.inicio706
dc.revistaJournal of pediatric surgery
dc.rightsacceso restringido
dc.subjectAchalasia
dc.subjectChildren
dc.subjectPOEM
dc.subjectMyotomy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePer oral endoscopic myotomy (POEM) in pediatric patients with esophageal achalasia: First Latin-American experience
dc.typeartículo
dc.volumen56
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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