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10건 · 최신순-
Peroral Endoscopic myotomy (POEM) in pediatric achalasia: a retrospective cohort on institutional experience and quality of life.
[BACKGROUND] Achalasia is a rare esophageal motility disorder with an estimated annual incidence of 1-5/100.000 and a mean age at diagnosis > 50 years of age. Only a fraction of the patients has an onset during childhood (estimated incidenc…
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Inability to belch syndrome: what the gastroenterologist needs to know.
[PURPOSE OF REVIEW] To review recent publications on the inability to belch syndrome. [RECENT FINDINGS] Five recent retrospective case series indicate that the inability to belch syndrome usually starts in early childhood and is often acco…
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An overview of the efficacy, safety, and predictors of achalasia treatments.
[INTRODUCTION] Achalasia is a rare esophageal motility disorder characterized by abnormal esophageal peristalsis and the inability of the lower esophageal sphincter to relax, resulting in poor esophageal emptying. This can be relieved by en…
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The inability to belch syndrome: A study using concurrent high-resolution manometry and impedance monitoring.
[INTRODUCTION] Although inability to belch has previously been linked to dysfunction of the upper esophageal sphincter (UES), its underlying pathogenesis remains unclear. Our aim was to study mechanisms underlying inability to belch and the…
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Development of quality indicators for the diagnosis and management of achalasia.
[BACKGROUND] The management of achalasia has improved due to diagnostic and therapeutic innovations. However, variability in care delivery remains and no established measures defining quality of care for this population exist. We aimed to u…
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Factors Associated With Achalasia Treatment Outcomes: Systematic Review and Meta-Analysis.
[BACKGROUND & AIMS] Identification of factors associated with achalasia treatment outcome might help physicians select therapies based on patient characteristics. We performed a systematic review and meta-analysis to identify factors associ…
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Endoscopic management of gastrointestinal motility disorders - part 1: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.
ESGE recommends the use of a graded pneumatic dilation protocol in achalasia, starting with a 30-mm dilation and followed by a 35-mm dilation at a planned interval of 2 - 4 weeks, with a subsequent 40-mm dilation when there is insufficient …
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Hypercontractile esophageal motility disorder or functional esophageal symptoms and unrelated hypercontractility?
In this issue of the journal, Mion and coworkers describe 23 patients with dysphagia and/or thoracic pain and hypercontractile esophageal motility disorders who were either treated with botulinum toxin 100 U or underwent a sham procedure. T…
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The treatment of achalasia patients with esophageal varices: an international study.
[BACKGROUND] Treatment options for achalasia include endoscopic and surgical techniques that carry the risk of esophageal bleeding and perforation. The rare coexistence of esophageal varices has only been anecdotally described and treatment…
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Complications of botulinum toxin injections for treatment of esophageal motility disorders†.
In achalasia and spastic esophageal motility disorders, botulinum toxin (botox) injection is considered an effective and low-risk procedure for short-term symptom relief. It is mainly offered to medically high-risk patients. However, no ana…