Research progress of clinical application of laparoscopic Heller myotomy and peroral endoscopic myotomy in treatment of achalasia of cardia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Siyu , LIU Jinlu ,  CHEN Junqiang

Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, P.R.China;

Corresponding author：

CHEN Junqiang, Email: gxmufh@126.com

Keywords：

laparoscopic Heller myotomy; peroral endoscopic myotomy; achalasia of cardia; complications; efficacy

DOI：

10.7507/1007-9424.201702032

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare effectiveness between laparoscopic Heller myotomy and peroral endoscopic myotomy (POEM) in treatment of achalasia of cardia (AC) in order to provide a basis for clinical choose. Method The literatures about the treatment of AC by laparoscopic Heller myotomy or POEM were retrieved from CNKI, Embase, PubMed databases, etc., and then the contents about curative effect and complications were summarized. Results The treatment models of AC included surgical treatment such as laparoscopic Heller myotomy and endoscopy such as POEM, but there was still lack of comparing data in these two treatment models, its selection remained controversial. There was a better short-term curative effect and slighter complications for POEM as compared with the laparoscopic Heller myotomy from the trend of published literatures. However, it’s long-term effects for these two treatment models were not clarified. Conclusions Both laparoscopic Heller myotomy and POEM are medicable for AC. POEM as a new treatment of AC shows some advantages of minimal invasion and exact efficacy, but it needs to be followed-up for a long-term. Treatment model for AC is chosen on basis of typing under endoscope, physical fitness, anatomy of easophagus, previous history, tolerance of surgery and other factors.

Citation： LIU Siyu, LIU Jinlu, CHEN Junqiang. Research progress of clinical application of laparoscopic Heller myotomy and peroral endoscopic myotomy in treatment of achalasia of cardia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(8): 1025-1029. doi: 10.7507/1007-9424.201702032 Copy

1.	Minami H, Isomoto H, Yamaguchi N, et al. Peroral endoscopic myotomy for esophageal achalasia: clinical impact of 28 cases. Dig Endosc, 2014, 26(1): 43-51.
2.	刘丽梅, 闵敏, 徐杨. 贲门失弛缓症的诊治新进展. 中国继续医学教育, 2016, 8(5): 66-67.
3.	沃静波, 许国强, 陈洪潭, 等. 经口内镜下肌切开术治疗 44 例贲门失弛缓症的疗效观察. 中国内镜杂志, 2016, 22(11): 1-5.
4.	包文晗, 段丽萍. 贲门失弛缓症的治疗进展. 中国微创外科杂志, 2016, 16(3): 281-285.
5.	令狐恩强, 李惠凯. 一种新的贲门失弛缓的内镜下分型. 中华腔镜外科杂志（电子版）, 2011, 4(5): 334-336.
6.	Pandolfino JE, Kwiatek MA, Nealis T, et al. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology, 2008, 135(5): 1526-1533.
7.	Bredenoord AJ, Rösch T, Fockens P. Peroral endoscopic myotomy for achalasia. Neurogastroenterol Motil, 2014, 26(1): 3-12.
8.	令狐恩强, 李惠凯. 贲门失弛缓症的内镜下分型在隧道技术中的应用. 中国继续医学教育, 2011, 3(12): 78-80.
9.	谈秋慧, 谢军培, 韩曲, 等. 经口内镜下肌切开术与腹腔镜 Heller 手术治疗贲门失弛缓症的临床疗效对比. 胃肠病学和肝病学杂志, 2015, 24(9): 1104-1107.
10.	Kaman L, Iqbal J, Kochhar R2, et al. Laparoscopic Heller myotomy for achalasia cardia—initial experience in a teaching institute. Indian J Surg, 2013, 75(5): 391-394.
11.	Werner YB, Costamagna G, Swanström LL, et al. Clinical response to peroral endoscopic myotomy in patients with idiopathic achalasia at a minimum follow-up of 2 years. Gut, 2016, 65(6): 899-906.
12.	于磊, 李建业, 王天佑, 等. 改良 Heller 手术治疗贲门失弛缓症的远期疗效. 中国胸心血管外科杂志, 2010, 8(4): 275-276.
13.	钱彬彬, 杨孙虎. 贲门失弛缓症的微创治疗进展. 腹腔镜外科杂志, 2016, 21(10): 791-795.
14.	Ponsky JL, Marks JM, Pauli EM. How I do it: per-oral endoscopic myotomy (POEM). J Gastrointest Surg, 2012, 16(6): 1251-1255.
15.	Eleftheriadis N, Inoue H, Ikeda H, et al. Training in peroral endoscopic myotomy (POEM) for esophageal achalasia. Ther Clin Risk Manag, 2012, 8: 329-342.
16.	周平红, 姚礼庆, 蔡明琰, 等. 经口内镜下肌切开术治疗贲门失弛缓症的初探. 中华消化内镜杂志, 2011, 28(2): 63-66.
17.	Minami H, Yamaguchi N, Matsushima K, et al. Improvement of endocytoscopic findings after per oral endoscopic myotomy (POEM) in esophageal achalasia; does POEM reduce the risk of developing esophageal carcinoma? Per oral endoscopic myotomy, endocytoscopy and carcinogenesis. BMC Gastroenterol, 2013, 13: 22.
18.	Stavropoulos SN, Modayil R, Friedel D. Per oral endoscopic myotomy for the treatment of achalasia. Curr Opin Gastroenterol, 2015, 31(5): 430-440.
19.	刘德良, 谭玉勇, 王学红,等. 经口内镜下肌切开术治疗贲门失弛缓症气体相关并发症的危险因素分析. 中华消化内镜杂志, 2015, 32(1): 10-13.
20.	李冉, 张瑾, 徐莲. 横开口与纵开口内镜下肌切开治疗贲门失驰缓疗效对比. 世界华人消化杂志, 2016, 24(26): 3804-3808.
21.	Shimi S, Nathanson LK, Cuschieri A. Laparoscopic cardiomyotomy for achalasia. J R Coll Surg Edinb, 1991, 36(3): 152-154.
22.	Schoenberg MB, Marx S, Kersten JF, et al. Laparoscopic Heller myotomy versus endoscopic balloon dilatation for the treatment of achalasia: a network meta-analysis. Ann Surg, 2013, 258(6): 943-952.
23.	Smith CD, Stival A, Howell DL, et al. Endoscopic therapy for achalasia before Heller myotomy results in worse outcomes than Heller myotomy alone. Ann Surg, 2006, 243(5): 579-586.
24.	魏宁, 胡文滕, 蔡谦谦, 等. 腹腔镜 Heller 手术治疗贲门失弛缓症疗效和安全性的Meta分析. 中国循证医学杂志, 2016, 16(5): 573-578.
25.	Inoue H, Minami H, Kobayashi Y, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy, 2010, 42(4): 265-271.
26.	马晓冰, 令狐恩强, 李惠凯, 等. 经口内镜下肌切开术治疗贲门失弛缓症安全性和有效性的影响因素. 南方医科大学学报, 2016, 36(7): 892-897.
27.	Inoue H, Kudo SE. Per-oral endoscopic myotomy (POEM) for 43 consecutive cases of esophageal achalasia. Nihon Rinsho, 2010, 68(9): 1749-1752.
28.	赵威, 郑忠青, 郭海英, 等. 经口内镜下肌切开术与球囊扩张治疗贲门失弛缓症的对照研究. 中华消化杂志, 2016, 36(9): 577-581.
29.	Werner YB, Costamagna G, Swanström LL, et al. Clinical response to peroral endoscopic myotomy in patients with idiopathic achalasia at a minimum follow-up of 2 years. Gut, 2016, 65(6): 899-906.
30.	Kumagai K, Tsai JA, Thorell A, et al. Per-oral endoscopic myotomy for achalasia. Are results comparable to laparoscopic Heller myotomy? Scand J Gastroenterol, 2015, 50(5): 505-512.
31.	晋弘, 张莉莉, 郑忠青, 等. 经口内镜下肌切开术治疗贲门失弛缓症术后 3 年疗效评估. 中华消化杂志, 2015, 35(4): 217-220.
32.	和方伟, 于红刚, 张军, 等. 经口内镜下全层肌切开术治疗贲门失弛缓症的短期疗效分析. 中华消化内镜杂志, 2016, 33(4): 211-214.
33.	Zaninotto G, Costantini M, Rizzetto C, et al. Four hundred laparoscopic myotomies for esophageal achalasia: a single centre experience. Ann Surg, 2008, 248(6): 986-993.
34.	Tsuboi K, Omura N, Yano F, et al. Data analyses and perspectives on laparoscopic surgery for esophageal achalasia. World J Gastroenterol, 2015, 21(38): 10830-10839.
35.	Pontone S, Urciuoli P, Pontone P, et al. Dor Against Toupet Fundoplication After Heller Myotomy. Laparoscopic Technical Improvements and Endoscopic Support. J Gastrointest Surg, 2011, 15(11):2119-2120.
36.	Zurita Macías Valadez LC, Pescarus R, Hsieh T, et al. Laparoscopic limited Heller myotomy without anti-reflux procedure does not induce significant long-term gastroesophageal reflux. Surg Endosc, 2015, 29(6): 1462-1468.
37.	Ren Z, Zhong Y, Zhou P, et al. Perioperative management and treatment for complications during and after peroral endoscopic myotomy (POEM) for esophageal achalasia (EA) (data from 119 cases). Surg Endosc, 2012, 26(11): 3267-3272.
38.	Talukdar R, Inoue H, Nageshwar Reddy D. Efficacy of peroral endoscopic myotomy (POEM) in the treatment of achalasia: a systematic review and meta-analysis. Surg Endosc, 2015, 29(11): 3030-3046.
39.	Francis DL, Katzka DA.Achalasia: update on the disease and its treatment.Gastroenterology, 2010, 139(2): 369-374.
40.	李明阳, 刘宁, 陈倩倩, 等. 贲门失弛缓症经口内镜下肌切开术手术效果的影响因素分析. 中华胃肠内镜电子杂志, 2016, 3(3): 99-102.
41.	李盈盈, 李惠凯, 翟亚奇, 等. 经口内镜下肌切开术后贲门失弛缓症患者食管下括约肌及食管体部动力变化的初步研究. 中华胃肠内镜电子杂志, 2016, 3(1): 1-7.
42.	谭玉勇, 彭东子, 刘德良. 经口内镜下肌切开术治疗贲门失弛缓症操作要点及其现状(含视频). 中华消化内镜杂志, 2016, 33(7): 425-428.
43.	高楠, 史冬涛, 李锐, 等. 经口内镜下肌切开术对贲门失弛缓症患者生命质量影响的多中心研究. 中华消化杂志, 2015, 35(12): 822-824.

1. Minami H, Isomoto H, Yamaguchi N, et al. Peroral endoscopic myotomy for esophageal achalasia: clinical impact of 28 cases. Dig Endosc, 2014, 26(1): 43-51.
2. 刘丽梅, 闵敏, 徐杨. 贲门失弛缓症的诊治新进展. 中国继续医学教育, 2016, 8(5): 66-67.
3. 沃静波, 许国强, 陈洪潭, 等. 经口内镜下肌切开术治疗 44 例贲门失弛缓症的疗效观察. 中国内镜杂志, 2016, 22(11): 1-5.
4. 包文晗, 段丽萍. 贲门失弛缓症的治疗进展. 中国微创外科杂志, 2016, 16(3): 281-285.
5. 令狐恩强, 李惠凯. 一种新的贲门失弛缓的内镜下分型. 中华腔镜外科杂志（电子版）, 2011, 4(5): 334-336.
6. Pandolfino JE, Kwiatek MA, Nealis T, et al. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology, 2008, 135(5): 1526-1533.
7. Bredenoord AJ, Rösch T, Fockens P. Peroral endoscopic myotomy for achalasia. Neurogastroenterol Motil, 2014, 26(1): 3-12.
8. 令狐恩强, 李惠凯. 贲门失弛缓症的内镜下分型在隧道技术中的应用. 中国继续医学教育, 2011, 3(12): 78-80.
9. 谈秋慧, 谢军培, 韩曲, 等. 经口内镜下肌切开术与腹腔镜 Heller 手术治疗贲门失弛缓症的临床疗效对比. 胃肠病学和肝病学杂志, 2015, 24(9): 1104-1107.
10. Kaman L, Iqbal J, Kochhar R2, et al. Laparoscopic Heller myotomy for achalasia cardia—initial experience in a teaching institute. Indian J Surg, 2013, 75(5): 391-394.
11. Werner YB, Costamagna G, Swanström LL, et al. Clinical response to peroral endoscopic myotomy in patients with idiopathic achalasia at a minimum follow-up of 2 years. Gut, 2016, 65(6): 899-906.
12. 于磊, 李建业, 王天佑, 等. 改良 Heller 手术治疗贲门失弛缓症的远期疗效. 中国胸心血管外科杂志, 2010, 8(4): 275-276.
13. 钱彬彬, 杨孙虎. 贲门失弛缓症的微创治疗进展. 腹腔镜外科杂志, 2016, 21(10): 791-795.
14. Ponsky JL, Marks JM, Pauli EM. How I do it: per-oral endoscopic myotomy (POEM). J Gastrointest Surg, 2012, 16(6): 1251-1255.
15. Eleftheriadis N, Inoue H, Ikeda H, et al. Training in peroral endoscopic myotomy (POEM) for esophageal achalasia. Ther Clin Risk Manag, 2012, 8: 329-342.
16. 周平红, 姚礼庆, 蔡明琰, 等. 经口内镜下肌切开术治疗贲门失弛缓症的初探. 中华消化内镜杂志, 2011, 28(2): 63-66.
17. Minami H, Yamaguchi N, Matsushima K, et al. Improvement of endocytoscopic findings after per oral endoscopic myotomy (POEM) in esophageal achalasia; does POEM reduce the risk of developing esophageal carcinoma? Per oral endoscopic myotomy, endocytoscopy and carcinogenesis. BMC Gastroenterol, 2013, 13: 22.
18. Stavropoulos SN, Modayil R, Friedel D. Per oral endoscopic myotomy for the treatment of achalasia. Curr Opin Gastroenterol, 2015, 31(5): 430-440.
19. 刘德良, 谭玉勇, 王学红,等. 经口内镜下肌切开术治疗贲门失弛缓症气体相关并发症的危险因素分析. 中华消化内镜杂志, 2015, 32(1): 10-13.
20. 李冉, 张瑾, 徐莲. 横开口与纵开口内镜下肌切开治疗贲门失驰缓疗效对比. 世界华人消化杂志, 2016, 24(26): 3804-3808.
21. Shimi S, Nathanson LK, Cuschieri A. Laparoscopic cardiomyotomy for achalasia. J R Coll Surg Edinb, 1991, 36(3): 152-154.
22. Schoenberg MB, Marx S, Kersten JF, et al. Laparoscopic Heller myotomy versus endoscopic balloon dilatation for the treatment of achalasia: a network meta-analysis. Ann Surg, 2013, 258(6): 943-952.
23. Smith CD, Stival A, Howell DL, et al. Endoscopic therapy for achalasia before Heller myotomy results in worse outcomes than Heller myotomy alone. Ann Surg, 2006, 243(5): 579-586.
24. 魏宁, 胡文滕, 蔡谦谦, 等. 腹腔镜 Heller 手术治疗贲门失弛缓症疗效和安全性的Meta分析. 中国循证医学杂志, 2016, 16(5): 573-578.
25. Inoue H, Minami H, Kobayashi Y, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy, 2010, 42(4): 265-271.
26. 马晓冰, 令狐恩强, 李惠凯, 等. 经口内镜下肌切开术治疗贲门失弛缓症安全性和有效性的影响因素. 南方医科大学学报, 2016, 36(7): 892-897.
27. Inoue H, Kudo SE. Per-oral endoscopic myotomy (POEM) for 43 consecutive cases of esophageal achalasia. Nihon Rinsho, 2010, 68(9): 1749-1752.
28. 赵威, 郑忠青, 郭海英, 等. 经口内镜下肌切开术与球囊扩张治疗贲门失弛缓症的对照研究. 中华消化杂志, 2016, 36(9): 577-581.
29. Werner YB, Costamagna G, Swanström LL, et al. Clinical response to peroral endoscopic myotomy in patients with idiopathic achalasia at a minimum follow-up of 2 years. Gut, 2016, 65(6): 899-906.
30. Kumagai K, Tsai JA, Thorell A, et al. Per-oral endoscopic myotomy for achalasia. Are results comparable to laparoscopic Heller myotomy? Scand J Gastroenterol, 2015, 50(5): 505-512.
31. 晋弘, 张莉莉, 郑忠青, 等. 经口内镜下肌切开术治疗贲门失弛缓症术后 3 年疗效评估. 中华消化杂志, 2015, 35(4): 217-220.
32. 和方伟, 于红刚, 张军, 等. 经口内镜下全层肌切开术治疗贲门失弛缓症的短期疗效分析. 中华消化内镜杂志, 2016, 33(4): 211-214.
33. Zaninotto G, Costantini M, Rizzetto C, et al. Four hundred laparoscopic myotomies for esophageal achalasia: a single centre experience. Ann Surg, 2008, 248(6): 986-993.
34. Tsuboi K, Omura N, Yano F, et al. Data analyses and perspectives on laparoscopic surgery for esophageal achalasia. World J Gastroenterol, 2015, 21(38): 10830-10839.
35. Pontone S, Urciuoli P, Pontone P, et al. Dor Against Toupet Fundoplication After Heller Myotomy. Laparoscopic Technical Improvements and Endoscopic Support. J Gastrointest Surg, 2011, 15(11):2119-2120.
36. Zurita Macías Valadez LC, Pescarus R, Hsieh T, et al. Laparoscopic limited Heller myotomy without anti-reflux procedure does not induce significant long-term gastroesophageal reflux. Surg Endosc, 2015, 29(6): 1462-1468.
37. Ren Z, Zhong Y, Zhou P, et al. Perioperative management and treatment for complications during and after peroral endoscopic myotomy (POEM) for esophageal achalasia (EA) (data from 119 cases). Surg Endosc, 2012, 26(11): 3267-3272.
38. Talukdar R, Inoue H, Nageshwar Reddy D. Efficacy of peroral endoscopic myotomy (POEM) in the treatment of achalasia: a systematic review and meta-analysis. Surg Endosc, 2015, 29(11): 3030-3046.
39. Francis DL, Katzka DA.Achalasia: update on the disease and its treatment.Gastroenterology, 2010, 139(2): 369-374.
40. 李明阳, 刘宁, 陈倩倩, 等. 贲门失弛缓症经口内镜下肌切开术手术效果的影响因素分析. 中华胃肠内镜电子杂志, 2016, 3(3): 99-102.
41. 李盈盈, 李惠凯, 翟亚奇, 等. 经口内镜下肌切开术后贲门失弛缓症患者食管下括约肌及食管体部动力变化的初步研究. 中华胃肠内镜电子杂志, 2016, 3(1): 1-7.
42. 谭玉勇, 彭东子, 刘德良. 经口内镜下肌切开术治疗贲门失弛缓症操作要点及其现状(含视频). 中华消化内镜杂志, 2016, 33(7): 425-428.
43. 高楠, 史冬涛, 李锐, 等. 经口内镜下肌切开术对贲门失弛缓症患者生命质量影响的多中心研究. 中华消化杂志, 2015, 35(12): 822-824.

Previous Article
Research progress of IgG4 and cancer immunity
Next Article
Advancement of long non-coding RNA in papillary thyroid carcinoma

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research progress of clinical application of laparoscopic Heller myotomy and peroral endoscopic myotomy in treatment of achalasia of cardia

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content