Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 정혜경 | - |
dc.date.accessioned | 2019-10-04T16:30:07Z | - |
dc.date.available | 2019-10-04T16:30:07Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0016-5107 | - |
dc.identifier.issn | 1097-6779 | - |
dc.identifier.other | OAK-25466 | - |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/251572 | - |
dc.description.abstract | Background and Aims: Although both per-oral endoscopic myotomy (POEM) and Heller myotomy (HM) have been used for the treatment of achalasia, the comparative efficacy of POEM and HM has yet to be fully evaluated. Methods: We searched all relevant studies published up to September 2018 examining the comparative efficacy between POEM and HM. Study quality was assessed using the Newcastle-Ottawa scale. Meta-analyses for Eckardt scores, perioperative outcomes, and reflux-related outcomes were performed based on a random-effects model. Results: Fifteen studies with a total of 1213 patients were evaluated. The follow-up duration ranged from 2 to 46.2 months and from 2 to 54.2 months in the POEM and HM groups, respectively. Postoperative Eckardt scores were lower (better) in the POEM group than in the HM group (pooled standardized mean difference [SMD], - 0.58; 95% confidence interval [CI], - 1.03 to - 0.13). Length of myotomy was greater in the POEM group than in the HM group (pooled SMD, 0.63; 95% CI, 0.42-0.84). There was no difference in reflux symptoms and pathologic reflux on pH monitoring between the groups (pooled risk ratio [RR], 1.03; 95% CI, 0.61-1.73; and pooled RR, 1.22; 95% CI, 0.67-2.25, respectively). Erosive esophagitis on endoscopy tended to be less common in the HM group (pooled RR, 1.88; 95% CI, 0.98-3.62). Conclusion: Although long-term follow-up data are insufficient, the short-term efficacy of POEM was superior to that of HM. Erosive esophagitis tended to be more common in the POEM group; however, there was no difference in reflux symptoms and pathologic reflux on pH monitoring between the groups. | - |
dc.language | English | - |
dc.publisher | MOSBY-ELSEVIER | - |
dc.title | Comparative efficacy of per-oral endoscopic myotomy and Heller myotomy in patients with achalasia: a meta-analysis | - |
dc.type | Review | - |
dc.relation.issue | 4 | - |
dc.relation.volume | 90 | - |
dc.relation.index | SCIE | - |
dc.relation.index | SCOPUS | - |
dc.relation.startpage | 546 | - |
dc.relation.lastpage | + | - |
dc.relation.journaltitle | GASTROINTESTINAL ENDOSCOPY | - |
dc.identifier.doi | 10.1016/j.gie.2019.05.046 | - |
dc.identifier.wosid | WOS:000486385600002 | - |
dc.identifier.scopusid | 2-s2.0-85070812027 | - |
dc.author.google | Park, Chan Hyuk | - |
dc.author.google | Jung, Da Hyun | - |
dc.author.google | Kim, Do Hoon | - |
dc.author.google | Lim, Chul-Hyun | - |
dc.author.google | Moon, Hee Seok | - |
dc.author.google | Park, Jung Ho | - |
dc.author.google | Jung, Hye-Kyung | - |
dc.author.google | Hong, Su Jin | - |
dc.author.google | Choi, Suck Chei | - |
dc.author.google | Lee, Oh Young|Korean Soc Neurogastroenterology | - |
dc.contributor.scopusid | 정혜경(7403029723) | - |
dc.date.modifydate | 20230208112902 | - |