Management of achalasia in 2020: Per-oral endoscopic myotomy, Heller’s or dilatation?
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초록
Achalasia cardia is a rare esophageal motility disorder. Although a primary neurological disorder, the treatment modalities of achalasia are primarily endoscopic or surgical. Pneumatic dilatation (PD) or laparoscopic Heller’s myotomy (LHM) have been the mainstay of achalasia management for several decades. With the introduction of third space endoscopy, the endoscopic management of achalasia has revolutionized. Randomized studies have concluded the superiority of per-oral endoscopic myotomy (POEM) over PD. In addition, the short-term outcomes of POEM are similar to LHM. POEM is a relatively new technique and long-term data is eagerly awaited. The main concern after POEM is a high incidence of gastroesophageal reflux disease (GERD) which is found in about half of the patients undergoing this procedure. GERD is higher after POEM when compared to PD and LHM with fundoplication. The management of achalasia should be individualized and based on factors like patient characteristics (age, sex, comorbidities), subtyping on high resolution manometry, patient/doctor preference, and surgical risk of the patient.
Abstract
Achalasia cardia is a rare esophageal motility disorder. Although a primary neurological disorder, the treatment modalities of achalasia are primarily endoscopic or surgical. Pneumatic dilatation (PD) or laparoscopic Heller’s myotomy (LHM) have been the mainstay of achalasia management for several decades. With the introduction of third space endoscopy, the endoscopic management of achalasia has revolutionized. Randomized studies have concluded the superiority of per-oral endoscopic myotomy (POEM) over PD. In addition, the short-term outcomes of POEM are similar to LHM. POEM is a relatively new technique and long-term data is eagerly awaited. The main concern after POEM is a high incidence of gastroesophageal reflux disease (GERD) which is found in about half of the patients undergoing this procedure. GERD is higher after POEM when compared to PD and LHM with fundoplication. The management of achalasia should be individualized and based on factors like patient characteristics (age, sex, comorbidities), subtyping on high resolution manometry, patient/doctor preference, and surgical risk of the patient.
참고문헌 (82)
- Reynolds JC, "Achalasia", Gastroenterol Clin North Am, 18, pp.223~255 (1989)
- Spiess AE, "Treating achalasia : from whalebone to laparoscope", JAMA, 280, pp.638~642 (1998)
- Boeckxstaens GE, "Achalasia", Lancet, 383, pp.83~93 (2014)
- Wang L, "Meta-analysis of randomized and controlled treatment trials for achalasia", Dig Dis Sci, 54, pp.2303~2311 (2009)
- Bassotti G, "Review article : pharmacological options in achalasia", Aliment Pharmacol Ther, 13, pp.1391~1396 (1999)
- Kadakia SC, "Graded pneumatic dilation using Rigiflex achalasia dilators in patients with primary esophageal achalasia", Am J Gastroenterol, 88, pp.34~38 (1993)
- Ghoshal UC, "Longterm follow-up after pneumatic dilation for achalasia cardia : factors associated with treatment failure and recurrence", Am J Gastroenterol, 99, pp.2304~2310 (2004)
- Zerbib F, "Repeated pneumatic dilations as long-term maintenance therapy for esophageal achalasia", Am J Gastroenterol, 101, pp.692~697 (2006)
- Eckardt VF, "Pneumatic dilation for achalasia : late results of a prospective follow up investigation", Gut, 53, pp.629~633 (2004)
- Boeckxstaens GE, "Pneumatic dilation versus laparoscopic Heller's myotomy for idiopathic achalasia", N Engl J Med, 364, pp.1807~1816 (2011)
- Moonen A, "Long-term results of the European achalasia trial : a multicentre randomised controlled trial comparing pneumatic dilation versus laparoscopic Heller myotomy", Gut, 65, pp.732~739 (2016)
- Karamanolis G, "Long-term outcome of pneumatic dilation in the treatment of achalasia", Am J Gastroenterol, 100, pp.270~274 (2005)
- Elliott TR, "Long-term outcome following pneumatic dilatation as initial therapy for idiopathic achalasia : an 18-year single-centre experience", Aliment Pharmacol Ther, 37, pp.1210~1219 (2013)
- Hulselmans M, "Long-term outcome of pneumatic dilation in the treatment of achalasia", Clin Gastroenterol Hepatol, 8, pp.30~35 (2010)
- Csendes A, "Late results of a prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia", Gut, 30, pp.299~304 (1989)
- Eckardt VF, "Predictors of outcome in patients with achalasia treated by pneumatic dilation", Gastroenterology, 103, pp.1732~1738 (1992)
- Di Nardo G, "Pneumatic balloon dilation in pediatric achalasia : efficacy and factors predicting outcome at a single tertiary pediatric gastroenterology center", Gastrointest Endosc, 76, pp.927~932 (2012)
- Kumbhari V, "Efficacy and safety of pneumatic dilatation for achalasia in the treatment of post-myotomy symptom relapse", Am J Gastroenterol, 108, pp.1076~1081 (2013)
- van Hoeij FB, "Management of recurrent symptoms after per-oral endoscopic myotomy in achalasia", Gastrointest Endosc, 87, pp.95~101 (2018)
- Fiest TC, "Successful balloon dilation of achalasia during pregnancy", Gastrointest Endosc, 39, pp.810~812 (1993)
- Neubert ZS, "Bridging therapy for achalasia in a second trimester pregnant patient", J Family Med Prim Care, 8, pp.289~297 (2019)
- Lynch KL, "Major complications of pneumatic dilation and Heller myotomy for achalasia : single-center experience and systematic review of the literature", Am J Gastroenterol, 107, pp.1817~1825 (2012)
- Borotto E, "Risk factors of oesophageal perforation during pneumatic dilatation for achalasia", Gut, 39, pp.9~12 (1996)
- Metman EH, "Risk factors for immediate complications after progressive pneumatic dilation for achalasia", Am J Gastroenterol, 94, pp.1179~1185 (1999)
- Nair LA, "Complications during pneumatic dilation for achalasia or diffuse esophageal spasm. Analysis of risk factors, early clinical characteristics, and outcome", Dig Dis Sci, 38, pp.1893~1904 (1993)
- Lo AY, "Nonoperative management of esophageal perforation secondary to balloon dilatation", Surg Endosc, 7, pp.529~532 (1993)
- Elhanafi S, "Esophageal perforation post pneumatic dilatation for achalasia managed by esophageal stenting", Am J Case Rep, 14, pp.532~535 (2013)
- Sanaka MR, "Esophageal perforation after pneumatic dilation for achalasia : successful closure with an over-the-scope clip", J Clin Gastroenterol, 50, pp.267~268 (2016)
- Nathanson LK, "Videothoracoscopic primary repair of early distal oesophageal perforation", Aust N Z J Surg, 63, pp.399~403 (1993)
- Novais PA, "24-h pH monitoring patterns and clinical response after achalasia treatment with pneumatic dilation or laparoscopic Heller myotomy", Aliment Pharmacol Ther, 32, pp.1257~1265 (2010)
- Vela MF, "The long-term efficacy of pneumatic dilatation and Heller myotomy for the treatment of achalasia", Clin Gastroenterol Hepatol, 4, pp.580~587 (2006)
- Heller E, "Extra mucous cardioplasty in chronic cardiospasm with dilatation of the esophagus(extramukose cardiaplastik mit dilatation des oesophagus)", Mitt Grenzgels Med Chir, 27, pp.141~148 (1913)
- Oelschlager BK, "Improved outcome after extended gastric myotomy for achalasia", Arch Surg, 138, pp.490~495 (2003)
- Richards WO, "Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia : a prospective randomized double-blind clinical trial", Ann Surg, 240, pp.405~412 (2004)
- Patti MG, "Minimally invasive surgery for achalasia : an 8-year experience with 168 patients", Ann Surg, 230, pp.587~593 (1999)
- Patti MG, "Comparison of thoracoscopic and laparoscopic Heller myotomy for achalasia", J Gastrointest Surg, 2, pp.561~566 (1998)
- Stewart KC, "Thoracoscopic versus laparoscopic modified Heller Myotomy for achalasia : efficacy and safety in 87 patients", J Am Coll Surg, 189, pp.164~169 (1999)
- Rawlings A, "Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia : results of a multicenter, prospective, randomized-controlled trial", Surg Endosc, 26, pp.18~26 (2012)
- Werner YB, "Endoscopic or surgical myotomy in patients with idiopathic achalasia", N Engl J Med, 381, pp.2219~2229 (2019)
- Mineo TC, "Long-term outcome of Heller myotomy in achalasic sigmoid esophagus", J Thorac Cardiovasc Surg, 128, pp.402~407 (2004)
- Zaninotto G, "Four hundred laparoscopic myotomies for esophageal achalasia : a single centre experience", Ann Surg, 248, pp.986~993 (2008)
- Wohler A, "Surgical pitfalls: an evidence-based approach to prevention and management", pp.187~195 (2009), Saunders
- Inoue H, "Per-oral endoscopic myotomy(POEM)for 43 consecutive cases of esophageal achalasia", Nihon Rinsho, 68, pp.1749~1752 (2010)
- Kahrilas PJ, "Clinical practice update : the use of per-oral endoscopic myotomy in achalasia : expert review and best practice advice from the AGA Institute", Gastroenterology, 153, pp.1205~1211 (2017)
- Zaninotto G, "The 2018 ISDE achalasia guidelines", Dis Esophagus, 31, pp.doy071~ (2018)
- Nabi Z, "Peroral endoscopic myotomy for achalasia cardia : outcomes in over 400 consecutive patients", Endosc Int Open, 5, pp.E331~9 (2017)
- Inoue H, "Statement for gastroesophageal reflux disease after peroral endoscopic myotomy from an international multicenter experience", Esophagus, 17, pp.3~10 (2020)
- Tan Y, "Efficacy of anterior versus posterior per-oral endoscopic myotomy for treating achalasia : a randomized, prospective study", Gastrointest Endosc, 88, pp.46~54 (2018)
- Ramchandani M, "Outcomes of anterior myotomy versus posterior myotomy during POEM : a randomized pilot study", Endosc Int Open, 6, pp.E190~8 (2018)
- Khashab MA, "Peroral endoscopic myotomy: anterior versus posterior approach: a randomized single-blinded clinical trial", Gastrointest Endosc, 91, pp.288~297.e7 (2020)
- Rodríguez de Santiago E, "Anterior versus posterior myotomy during poem for the treatment of achalasia : systematic review and meta-analysis of randomized clinical trials", J Gastrointestin Liver Dis, 28, pp.107~115 (2019)
- Mohan BP, "Anterior versus posterior approach in peroral endoscopic myotomy(POEM) : a systematic review and meta-analysis", Endoscopy, 52, pp.251~258 (2020)
- Khashab MA, "How to perform a high-quality peroral endoscopic myotomy?", Gastroenterology, 157, pp.1184~1189 (2019)
- Nabi Z, "Peroral endoscopic myotomy in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device", VideoGIE, 5, pp.138~140 (2020)
- Tsiamoulos ZP, "A new approach to endoscopic submucosal tunneling dissection : the"Speedboat-RS2"device", Endoscopy, 51, pp.E185~6 (2019)
- Inoue H, "Per-oral endoscopic myotomy : a series of 500 patients", J Am Coll Surg, 221, pp.256~264 (2015)
- Shiwaku H, "Multicenter collaborative retrospective evaluation of peroral endoscopic myotomy for esophageal achalasia : analysis of data from more than 1300 patients at eight facilities in Japan", Surg Endosc, 34, pp.464~468 (2020)
- Nabi Z, "Peroral endoscopic myotomy in treatment-naïve achalasia patients versus prior treatment failure cases", Endoscopy, 50, pp.358~370 (2018)
- Ngamruengphong S, "Efficacy and safety of peroral endoscopic myotomy for treatment of achalasia after failed Heller myotomy", Clin Gastroenterol Hepatol, 15, pp.1531~1537.e3 (2017)
- Tyberg A, "Peroral endoscopic myotomy as salvation technique post-Heller : international experience", Dig Endosc, 30, pp.52~56 (2018)
- Zhang X, "Peroral endoscopic myotomy in patients with or without prior Heller's myotomy:comparing long-term outcomes in a large U.S. single-center cohort (with videos)", Gastrointest Endosc, 87, pp.972~985 (2018)
- Li QL, "Outcomes of per-oral endoscopic myotomy for treatment of esophageal achalasia with a median followup of 49 months", Gastrointest Endosc, 87, pp.1405~1412.e3 (2018)
- Guo H, "Long-term outcomes of peroral endoscopic myotomy for patients with achalasia : a retrospective singlecenter study", Dis Esophagus, 30, pp.1~6 (2017)
- Teitelbaum EN, "Clinical outcomes five years after POEM for treatment of primary esophageal motility disorders", Surg Endosc, 32, pp.421~427 (2018)
- He C, "Long-term efficacy of peroral endoscopic myotomy for patients with achalasia : outcomes with a median follow-up of 36 months", Dig Dis Sci, 64, pp.803~810 (2019)
- Liu XY, "A risk-scoring system to predict clinical failure for patients with achalasia after peroral endoscopic myotomy", Gastrointest Endosc, 91, pp.33~40.e1 (2020)
- Ren Y, "Pre-treatment Eckardt score is a simple factor for predicting one-year peroral endoscopic myotomy failure in patients with achalasia", Surg Endosc, 31, pp.3234~3241 (2017)
- Nabi Z, "Adverse events during and after per-oral endoscopic myotomy : prevention, diagnosis, and management", Gastrointest Endosc, 87, pp.4~17 (2018)
- Ramchandani M, "Peroral endoscopic myotomy for achalasia cardia : treatment analysis and follow up of over 200 consecutive patients at a single center", Dig Endosc, 28, pp.19~26 (2016)
- Wang Y, "Clinical and endoscopic predictors for intraprocedural mucosal injury during per-oral endoscopic myotomy", Gastrointest Endosc, 89, pp.769~778 (2019)
- Nabi Z, "Per-oral endoscopic myotomy and gastroesophageal reflux: where do we stand after a decade of "POETRY"?", Indian J Gastroenterol, 38, pp.287~294 (2019)
- Shiwaku H, "A prospective analysis of GERD after POEM on anterior myotomy", Surg Endosc, 30, pp.2496~2504 (2016)
- Inoue H, "Peroral endoscopic myotomy and fundoplication : a novel NOTES procedure", Endoscopy, 51, pp.161~164 (2019)
- Nabi Z, "Peroral endoscopic myotomy with endoscopic fundoplication in a patient with idiopathic achalasia", Endoscopy, 52, pp.74~75 (2020)
- Tanaka S, "Novel peroral endoscopic myotomy method preserving oblique muscle using two penetrating vessels as anatomic landmarks reduces postoperative gastroesophageal reflux", J Gastroenterol Hepatol, 34, pp.2158~2163 (2019)
- Kim GH, "Superior clinical outcomes of peroral endoscopic myotomy compared with balloon dilation in all achalasia subtypes", J Gastroenterol Hepatol, 34, pp.659~665 (2019)
- Ponds FA, "Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and treatment outcomes among treatment-naive patients with achalasia : a randomized clinical trial", JAMA, 322, pp.134~144 (2019)
- Schlottmann F, "Laparoscopic heller myotomy versus peroral endoscopic myotomy(poem)for achalasia : a systematic review and meta-analysis", Ann Surg, 267, pp.451~460 (2018)
- Nitesh Pratap, "Achalasia Cardia Subtyping by High-Resolution Manometry Predicts the Therapeutic Outcome of Pneumatic Balloon Dilatation", Journal of Neurogastroenterology and Motility (JNM), 17(1), pp.48~53 (2011), 대한소화기 기능성질환∙운동학회
- Kumbhari V, "Peroral endoscopic myotomy(POEM)vs laparoscopic Heller myotomy(LHM)for the treatment of type III achalasia in 75 patients : a multicenter comparative study", Endosc Int Open, 3, pp.E195~201 (2015)
- Rohof WO, "Outcomes of treatment for achalasia depend on manometric subtype", Gastroenterology, 144, pp.718~725 (2013)
- Campos GM, "Endoscopic and surgical treatments for achalasia : a systematic review and metaanalysis", Ann Surg, 249, pp.45~57 (2009)
