Efficacy and safety of peroral endoscopic myotomy after prior sleeve gastrectomy and gastric bypass surgery

Table 3 Outcomes of patients with a history of bariatric surgery who underwent peroral endoscopic myotomy

Case	Type of bariatric surgery	Technical success	Clinical success	Post-POEM Eckardt score	Adverse events	Follow up, mo	Endoscopy findings	Medical comorbities
1	SG	Yes	Yes	3	No	37	Grade A esophagitis	HTN, HLD
2	SG	Yes	No	6	Minor1	21	Candida esophagitis; EndoFLIP DI: 10.22	COPD, TIA, OSA, HTN, type 2 diabetes
3	SG	Yes	Yes	2	No	13	Grade B esophagitisEndoFLIP DI: 5.13	None
4	RYGB	Yes	No	10	No	21	NA	Major depressive disorder, chronic migraines
5	RYGB	Yes	Yes	2	No	33	NA	None
6	RYGB	Yes	Yes	2	No	1.5	NA	Hypothyroidism

¹ER visit for chest pain 5 d after procedure with negative workup.

²EndoFLIP: Esophagogastric junction distensibility index, 60 mL: 10.2 mm²/mmHg; dysphagia and clinical failure likely related to candida esophagitis.

³EndoFLIP: Esophagogastric junction distensibility index, 60 mL: 5.1 mm²/mmHg. SG: Sleeve gastrectomy; RYGB: Roux-en-Y gastric bypass; POEM: Peroral endoscopic myotomy; HTN: Hypertension; HLD: Hyperlipidemia; COPD: Chronic obstructive pulmonary disease; TIA: Transient ischemic attack; OSA: Obstructive sleep apnea; NA: Not available.