Endoscopic or Surgical Myotomy in Patients with Idiopathic Achalasia

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Endoscopic or Surgical Myotomy in Patients with Idiopathic Achalasia

Werner, Yuki B; Hakanson, Bengt; Martinek, Jan; Repici, Alessandro; von Rahden, Burkhard H.A; Bredenoord, Albert J; Bisschops, Raf; Messmann, Helmut; Vollberg, Marius C; Noder, Tania; Kersten, Jan F; Mann, Oliver; Izbicki, Jakob; Pazdro, Alexander; Fumagalli, Uberto; Rosati, Riccardo; Germer, Christoph-Thomas; Schijven, Marlies P; Emmermann, Alice; von Renteln, Daniel; Fockens, Paul; Boeckxstaens, Guy; Rösch, Thomas

The New England journal of medicine, 12/2019, Volume: 381, Issue: 23

Journal Article

A randomized trial compared peroral endoscopic myotomy with laparoscopic Heller’s myotomy plus Dor’s fundoplication in patients with symptomatic idiopathic achalasia. POEM was noninferior to LHM in controlling symptoms of achalasia at 2 years. Symptoms of gastroesophageal reflux were more common in the POEM group.

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