Long-term outcomes of peroral endoscopic myotomy with simultaneous submucosal and muscle dissection (POEM-SSMD) for achalasia with severe interlayer adhesions  

作　　者：Jiancong Feng Ningli Chai Wengang Zhang Longsong Li Xiaowei Tang Jiale Zou Lu Ye Enqiang Linghu 

机构地区：[1]Medical School of Chinese People's Liberation Army,Beijing 100853,China [2]Department of Gastroenterology and Hepatology,The First Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100853,China

出　　处：《Chinese Medical Journal》2022年第6期724-726,共3页中华医学杂志（英文版）

基　　金：supported by grants from the National Key R&D Program of China(No.2016YFC1303601);Beijing Municipal Science&Technology Commission(No.Z181100001718177)。

摘　　要：Many previous studies have confirmed the effectiveness and safety of peroral endoscopic myotomy(POEM)to treat achalasia.However,severe interlayer adhesions preclude the establishment of a submucosal tunnel and then result in aborted POEM procedures.To address this challenge,we introduced POEM with simultaneous submucosal and muscle dissection(POEM-SSMD)in 2014.[1]During the short-term follow-up,the symptoms of the patient were significantly improved.Thus,for patients with esophageal interlayer adhesions,the relative indications of POEM may be extended.Nevertheless,only a few case reports using this technique with a shorter follow-up have been published to date.Hence,the present study aimed to further report the long-term outcomes of POEM-SSMD for achalasia with severe interlayer adhesions in a relatively larger population.

关 键 词：DISSECTION INTERLAYER SIMULTANEOUS 

分 类 号：R656.6[医药卫生—外科学]