Cited 1 times in
Effect of Drinking Warm Water on Esophageal Preparation Before Peroral Endoscopic Myotomy in Patients With Achalasia
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박효진 | - |
dc.contributor.author | 유성환 | - |
dc.contributor.author | 윤영훈 | - |
dc.date.accessioned | 2022-05-09T17:14:53Z | - |
dc.date.available | 2022-05-09T17:14:53Z | - |
dc.date.issued | 2022-04 | - |
dc.identifier.issn | 2093-0879 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/188464 | - |
dc.description.abstract | Background/aims: Food retention, which is a characteristic observed in patients with achalasia, can interfere with peroral endoscopic myotomy (POEM). However, there is no established guideline for esophageal preparation for POEM. A previous study has shown that drinking warm water may reduce the lower esophageal sphincter pressure in patients with achalasia. This study aims to evaluate the possibility of proper preparation of POEM by instructing the patient to drink warm water. Methods: The warm water preparation was performed in 29 patients with achalasia who underwent POEM. The patients drank 1 L of warm water (60oC) the night before POEM. We evaluated the esophageal clearness and determined the preparation quality. Twentynine patients were prospectively recruited and compared to control group. The control cohort comprised achalasia patients whose endoscopic image was available from the achalasia database of our institution. A 1:2 propensity score-matched control cohort was established from the database of achalasia subjects (n = 155) to compare the outcome of the preparation. Results: In the warm water preparation group, only 1 patient (3.4%) had some solid retention, but it did not interfere with the POEM procedure. The grade of clearness (P = 0.016) and quality of preparation (P < 0.001) were significantly better in the warm water preparation group than in the matched control group. There was no any adverse event at all related to warm water preparation protocol. Conclusions: Drinking warm water dramatically reduces esophageal food retention and significantly improves the quality of esophageal preparation. This simple protocol is quite useful, safe, and cost-effective in the preparation of achalasia patients for POEM. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | Korean Society of Neurogastroenterology and Motility | - |
dc.relation.isPartOf | JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Effect of Drinking Warm Water on Esophageal Preparation Before Peroral Endoscopic Myotomy in Patients With Achalasia | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Hong Jin Yoon | - |
dc.contributor.googleauthor | Young Hoon Youn | - |
dc.contributor.googleauthor | Sung Hwan Yoo | - |
dc.contributor.googleauthor | Seyeon Jeon | - |
dc.contributor.googleauthor | Hyojin Park | - |
dc.identifier.doi | 10.5056/jnm21119 | - |
dc.contributor.localId | A01774 | - |
dc.contributor.localId | A05883 | - |
dc.contributor.localId | A02583 | - |
dc.relation.journalcode | J01623 | - |
dc.identifier.eissn | 2093-0887 | - |
dc.identifier.pmid | 35362449 | - |
dc.subject.keyword | Esophageal achalasia | - |
dc.subject.keyword | Esophageal sphincter | - |
dc.subject.keyword | Lower | - |
dc.subject.keyword | Peroral endoscopic myotomy | - |
dc.subject.keyword | Water | - |
dc.contributor.alternativeName | Park, Hyo Jin | - |
dc.contributor.affiliatedAuthor | 박효진 | - |
dc.contributor.affiliatedAuthor | 유성환 | - |
dc.contributor.affiliatedAuthor | 윤영훈 | - |
dc.citation.volume | 28 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 231 | - |
dc.citation.endPage | 236 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY, Vol.28(2) : 231-236, 2022-04 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.