Matches in SemOpenAlex for { <https://semopenalex.org/work/W4304014737> ?p ?o ?g. }
Showing items 1 to 98 of
98
with 100 items per page.
- W4304014737 endingPage "1741" @default.
- W4304014737 startingPage "1735" @default.
- W4304014737 abstract "Per-Oral Endoscopic Myotomy (POEM) is an effective treatment for Esophageal Achalasia Cardia (EAC) but the endoscopic technique required is complex. As competency is crucial for patient safety, we believe that its’ competency can be demonstrated when the complication rate equals that of an established procedure such as Laparoscopic Heller’s Myotomy with Fundoplication (LHM + F). A multicentre, ambi-directional, non-randomized comparison of intra-procedural complications during the learning curve of POEM was performed against a historical cohort of LHM + F. Demographic, clinicopathological, procedural data and complications were collected. A direct head-to-head comparison was performed, followed by a population pyramid of complication frequency. Case sequence was then divided into blocks of 5, and the complication rates during each block was compared to the historical cohort. From January 2010 to April 2021, 60 patients underwent LHM + F and 63 underwent POEM. Mean age was lower for the POEM group (41.7 years vs 48.1 years, p = 0.03), but there was no difference in gender nor type of Achalasia. The POEM group recorded a shorter overall procedural time (125.9 min vs 144.1 min, p = 0.023) and longer myotomies (10.1 cm vs 6.2 cm, p = 0.023). The overall complication rate of POEM was 20.6%, whereas the historical cohort of LHM + F had a rate of 10.0%. On visual inspection of the population pyramid, complications were more frequent in the earlier procedures. On block sequencing, complication frequency could be seen tapering off dramatically after the 25th case, and subsequently equalled that of LHM + F. POEM is challenging even for experienced endoscopists. From our data, complication rates between POEM and LHM + F equalize after approximately 25 POEMs." @default.
- W4304014737 created "2022-10-10" @default.
- W4304014737 creator A5000982663 @default.
- W4304014737 creator A5005401890 @default.
- W4304014737 creator A5031423117 @default.
- W4304014737 creator A5041995673 @default.
- W4304014737 creator A5047857663 @default.
- W4304014737 creator A5072034660 @default.
- W4304014737 creator A5086873345 @default.
- W4304014737 date "2022-10-10" @default.
- W4304014737 modified "2023-09-27" @default.
- W4304014737 title "When is POEM truly equivalent to LHM? A comparison of complication rates during the learning curve" @default.
- W4304014737 cites W1680801304 @default.
- W4304014737 cites W1970475708 @default.
- W4304014737 cites W1971989066 @default.
- W4304014737 cites W1972810910 @default.
- W4304014737 cites W2045055379 @default.
- W4304014737 cites W2055611631 @default.
- W4304014737 cites W2078620751 @default.
- W4304014737 cites W2145158935 @default.
- W4304014737 cites W2160685930 @default.
- W4304014737 cites W2302443382 @default.
- W4304014737 cites W2305408892 @default.
- W4304014737 cites W2313644906 @default.
- W4304014737 cites W2319043032 @default.
- W4304014737 cites W2398495694 @default.
- W4304014737 cites W2409414955 @default.
- W4304014737 cites W2520379507 @default.
- W4304014737 cites W2618280855 @default.
- W4304014737 cites W2909734379 @default.
- W4304014737 cites W3004782035 @default.
- W4304014737 cites W3014643012 @default.
- W4304014737 cites W3016368940 @default.
- W4304014737 cites W3025912886 @default.
- W4304014737 cites W3104633415 @default.
- W4304014737 cites W3117727838 @default.
- W4304014737 cites W3119254108 @default.
- W4304014737 cites W3133029705 @default.
- W4304014737 cites W3177111561 @default.
- W4304014737 cites W3200148567 @default.
- W4304014737 cites W2016500056 @default.
- W4304014737 doi "https://doi.org/10.1007/s00464-022-09680-2" @default.
- W4304014737 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36214914" @default.
- W4304014737 hasPublicationYear "2022" @default.
- W4304014737 type Work @default.
- W4304014737 citedByCount "1" @default.
- W4304014737 countsByYear W43040147372022 @default.
- W4304014737 crossrefType "journal-article" @default.
- W4304014737 hasAuthorship W4304014737A5000982663 @default.
- W4304014737 hasAuthorship W4304014737A5005401890 @default.
- W4304014737 hasAuthorship W4304014737A5031423117 @default.
- W4304014737 hasAuthorship W4304014737A5041995673 @default.
- W4304014737 hasAuthorship W4304014737A5047857663 @default.
- W4304014737 hasAuthorship W4304014737A5072034660 @default.
- W4304014737 hasAuthorship W4304014737A5086873345 @default.
- W4304014737 hasBestOaLocation W43040147372 @default.
- W4304014737 hasConcept C126322002 @default.
- W4304014737 hasConcept C141071460 @default.
- W4304014737 hasConcept C2776928572 @default.
- W4304014737 hasConcept C2777819096 @default.
- W4304014737 hasConcept C2779958274 @default.
- W4304014737 hasConcept C2908647359 @default.
- W4304014737 hasConcept C71924100 @default.
- W4304014737 hasConcept C72563966 @default.
- W4304014737 hasConcept C81182388 @default.
- W4304014737 hasConcept C99454951 @default.
- W4304014737 hasConceptScore W4304014737C126322002 @default.
- W4304014737 hasConceptScore W4304014737C141071460 @default.
- W4304014737 hasConceptScore W4304014737C2776928572 @default.
- W4304014737 hasConceptScore W4304014737C2777819096 @default.
- W4304014737 hasConceptScore W4304014737C2779958274 @default.
- W4304014737 hasConceptScore W4304014737C2908647359 @default.
- W4304014737 hasConceptScore W4304014737C71924100 @default.
- W4304014737 hasConceptScore W4304014737C72563966 @default.
- W4304014737 hasConceptScore W4304014737C81182388 @default.
- W4304014737 hasConceptScore W4304014737C99454951 @default.
- W4304014737 hasIssue "3" @default.
- W4304014737 hasLocation W43040147371 @default.
- W4304014737 hasLocation W43040147372 @default.
- W4304014737 hasLocation W43040147373 @default.
- W4304014737 hasOpenAccess W4304014737 @default.
- W4304014737 hasPrimaryLocation W43040147371 @default.
- W4304014737 hasRelatedWork W141995335 @default.
- W4304014737 hasRelatedWork W1969404886 @default.
- W4304014737 hasRelatedWork W2019205616 @default.
- W4304014737 hasRelatedWork W2032599762 @default.
- W4304014737 hasRelatedWork W2045364679 @default.
- W4304014737 hasRelatedWork W2049805972 @default.
- W4304014737 hasRelatedWork W2166649571 @default.
- W4304014737 hasRelatedWork W2413026732 @default.
- W4304014737 hasRelatedWork W2423233162 @default.
- W4304014737 hasRelatedWork W2099091072 @default.
- W4304014737 hasVolume "37" @default.
- W4304014737 isParatext "false" @default.
- W4304014737 isRetracted "false" @default.
- W4304014737 workType "article" @default.