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S1142 Use of Reloadable Clips During Per-Oral Endoscopic Myotomy (POEM) Is Safe, Effective, and Cost-Effective

The American journal of gastroenterology, 2022-10, Vol.117 (10S), p.e831-e832 [Peer Reviewed Journal]

2022 by The American College of Gastroenterology ;ISSN: 0002-9270 ;EISSN: 1572-0241 ;DOI: 10.14309/01.ajg.0000861208.40746.66

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  • Title:
    S1142 Use of Reloadable Clips During Per-Oral Endoscopic Myotomy (POEM) Is Safe, Effective, and Cost-Effective
  • Author: Patel, Krishna ; Molloy, Val ; Naik, Amar S. ; Shastri, Nikhil
  • Subjects: Cost control ; Dysphagia ; Endoscopy ; Gastroenterology
  • Is Part Of: The American journal of gastroenterology, 2022-10, Vol.117 (10S), p.e831-e832
  • Description: Treatment efficacy was measured by immediate technical success, absence of leak on esophagram, and symptom evaluation at follow-up. Procedural details of incision length, anterior/posterior approach, type of incision, myotomy length, and number and type of clips (RC vs SC - (Figure) used for zipper closure technique were noted. Comparison of Utilization of Reloadable and Standard Clips versus Standard Clips Only in Patients with Achalasia Undergoing POEM Caption Reloadable and Standard, Single-use Clips (RC + SC) Group 1 (n = 14) Standard, Single-use Clips (SC) Only Group 2 (n = 10) p value Achalasia Type  1 2 3 4/14 (29%) 7/14 (50%) 3/14 (21%) 2/10 (20%) 7/10 (70%) 1/10 (10%) p = 1* p = 0.42* p = 0.61* Mean Incision Length  2 - 2.5 cm  3.5 cm 11/14 (79%) 3/14 (21%) 9/10 (90%) 1/10 (10%) p = 0.61* p = 0.61* Location of Incision  Anterior Posterior 3/14 (21%) 11/14 (79%) 3/10 (30%) 7/10 (70%) p = 0.66* p = 0.67* Type of Incision  Circular Full Thickness 9/14 (64%) 5/14 (36%) 8/10 (80%) 2/10 (20%) p = 0.65* p = 0.65* Mean Myotomy Length (cm) 8.7 + 2.3 7.3 + 1.2 p = 0.08^ Mean Number of Clips/Case  Total  Reloadable Clips  Standard, Single-Use Clips 6.4 + 1 3 + 2.7 1.3 + 0.5 5.7 + 1.2 0 5.7 + 1.2 p = 0.15^ Mean Total Clip Cost ($) 454 855 p = 0.0001^ Early Treatment Related Adverse Events  Leak on Esophagram 0/14 (0%) 0/10 (0%) p = 1* Delated Treatment Related Adverse Events  Dysphagia  Pain  Fever 0/14 (0%) 1/14 (7%) 0/14 (0%) 1/10 (10%) 1/10 (10%) 0/10 (0%) p = 0.42* p = 1* p = 1* * Fisher’s Exact test; ^Two-tailed, unpaired T test.
  • Publisher: New York: Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
  • Language: English
  • Identifier: ISSN: 0002-9270
    EISSN: 1572-0241
    DOI: 10.14309/01.ajg.0000861208.40746.66
  • Source: ProQuest Central
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