| 4 | Long-term outcomes of peroral endoscopic myotomy with simultaneous submucosal and muscle dissection (POEM-SSMD) for achalasia with severe interlayer adhesions显示文摘Many previous studies have confirmed the effectiveness and safety of peroral endoscopic myotomy(POEM)to treat achalasia.However,severe interlayer adhesions preclude the establishment of a submucosal tunnel and then result in aborted POEM procedures.To address this challenge,we introduced POEM with simultaneous submucosal and muscle dissection(POEM-SSMD)in 2014.[1]During the short-term follow-up,the symptoms of the patient were significantly improved.Thus,for patients with esophageal interlayer adhesions,the relative indications of POEM may be extended.Nevertheless,only a few case reports using this technique with a shorter follow-up have been published to date.Hence,the present study aimed to further report the long-term outcomes of POEM-SSMD for achalasia with severe interlayer adhesions in a relatively larger population. | Jiancong Feng Ningli Chai Wengang Zhang Longsong Li Xiaowei Tang Jiale Zou Lu Ye Enqiang Linghu | 2022 | Chinese Medical Journal2022，，6： | 0 |
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