Esophageal Achalasia Clinical Trial
Official title:
Peroral Endoscopic Myotomy for Esophageal Achalasia: Randomized Comparison of Water-Jet Assisted Versus Conventional Dissection Technique
Peroral endoscopic myotomy (POEM) has recently been introduced as promising alternative to laparoscopic Heller myotomy for patients with idiopathic achalasia. Several technical modifications have been proposed but have not yet been tested in randomized trials.
Objective: To evaluate efficacy and safety of water-jet assisted POEM (WJ) versus the
conventional technique (C).
Interventions: Patients with achalasia diagnosed by symptoms, endoscopy and barium swallow
eligible for POEM were randomized to either the use of Erbe Hybrid knife (WJ group) or the
conventional technique using injection and triangle tip knife interchangeably (C group).
Main outcome measurements: Procedure time in both groups; secondary outcomes were clinical
efficacy and safety (bleeding complications, pneumothorax or pleural effusion requiring
intervention)
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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