IDEAS home Printed from https://ideas.repec.org/a/adm/journl/v12y2023i7p4-6.html
   My bibliography  Save this article

Application of Peroral Endoscopic Myotomy (POEM) in the Treatment of Achalasia in Post-Bariatric Patients: Case Reports and Analysis of Efficacy and Safety

Author

Listed:
  • Vanessa Costa Muniz
  • Willian Chaves
  • Adriano Silvério da Paixão
  • Ana Caroline C. da Silva
  • Daniel Salerno Muzilli
  • Bárbara Esteves Silva
  • Laís Yumi Takaoka
  • Lara Godela Delatore
  • Tauane de Lima Fiorillo

Abstract

This paper discusses the application of Peroral Endoscopic Myotomy (POEM) in the treatment of achalasia in post-bariatric patients. Achalasia is an esophageal motility disorder characterized by malfunction of the lower esophageal sphincter (LES) and esophageal aperistalsis. POEM has emerged as a promising and less invasive technique for the treatment of this condition, particularly in patients with previous bariatric surgery. We present two cases of post-bariatric patients with achalasia successfully treated through POEM. The first case involved a 52-year-old man who had undergone Roux-en-Y Gastric Bypass (RYGB) 10 years ago, presenting symptoms of progressive dysphagia. The second case involved a 24-year-old woman who underwent a Roux-en-Y gastric bypass (RYGB) in 2015, with intense dysphagia. Both patients underwent POEM, resulting in significant improvement of symptoms. We discuss the efficacy of POEM in the treatment of achalasia in post-bariatric patients. Previous studies have reported positive short-term results with POEM in patients with previous RYGB, indicating that the technique is feasible and safe in this patient group. POEM offers a less invasive approach, avoiding the need for open surgical access, which can be challenging in post-bariatric patients due to scarring, adhesions, and anatomical distortions.

Suggested Citation

  • Vanessa Costa Muniz & Willian Chaves & Adriano Silvério da Paixão & Ana Caroline C. da Silva & Daniel Salerno Muzilli & Bárbara Esteves Silva & Laís Yumi Takaoka & Lara Godela Delatore & Tauane de, 2023. "Application of Peroral Endoscopic Myotomy (POEM) in the Treatment of Achalasia in Post-Bariatric Patients: Case Reports and Analysis of Efficacy and Safety," International Journal of Sciences, Office ijSciences, vol. 12(07), pages 4-6, July.
    • Handle: RePEc:adm:journl:v:12:y:2023:i:7:p:4-6
    DOI: 10.18483/ijSci.2688
    as

    Download full text from publisher

    File URL: https://www.ijsciences.com/pub/article/2688
    Download Restriction: no
    File URL: https://www.ijsciences.com/pub/pdf/V122023062688.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.18483/ijSci.2688?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:adm:journl:v:12:y:2023:i:7:p:4-6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Staff ijSciences (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.