Clinical Study

Two-Person Technique of Peroral Endoscopic Myotomy for Achalasia with an Advanced Endoscopist and a Thoracic Surgeon: Initial Experience

Table 1

Pre-POEM characteristics.

FactorSummary

Achalasia types20
 (i) Type 19 (45)
 (ii) Type 210 (50)
 (iii) Type 31 (10)
Basal LES pressure (mmHg)1435.9 ± 20.4
LES residual pressure (mmHg)1823.6 ± 10.4
Barium esophagogram findings
 Column height at 1 min (cm)187.5 ± 5.4
 Column width at 1 min (cm)183.6 ± 2.4
 Volume remaining at 1 min (cc)1859.1 [25.1, 127.2]
 Column height at 5 min (cm)186.3 ± 5.5
 Column width at 5 min (cm)182.8 ± 1.7
 Volume remaining at 5 min (cc)1848.9 [21.3, 88.3]
 Maximal esophageal width (cm)163.8 ± 2.3
Duration of achalasia symptoms (years)203.0 [1.8, 6.0]
Eckardt dysphagia score192.3 ± 0.82
Eckardt chest pain score191.00 ± 1.00
Eckardt regurgitation score191.8 ± 0.76
Eckardt weight loss score191.5 ± 1.2
Total Eckardt score196.7 ± 2.5
Eckardt staging19
 (i) Stage 13 (15.8)
 (ii) Stage 26 (31.6)
 (iii) Stage 310 (52.6)
Prior treatments
 None206 (30.0)
 Botulinum toxin204 (20.0)
 Pneumatic dilation208 (40.0)
 Heller myotomy206 (30.0)
 Number of prior treatments19
   (i) 06 (31.6)
   (ii) 18 (42.1)
   (iii) 33 (15.8)
   (iv) 41 (5.3)
   (v) 81 (5.3)

Values presented as mean ± SD, median [P25, P75], or (column%).