Wang BH, Li RY. Peroral endoscopic myotomy assisted with an elastic ring for achalasia with obvious submucosal fibrosis: A case report. World J Clin Cases 2022; 10(33): 12257-12260 [PMID: 36483833 DOI: 10.12998/wjcc.v10.i33.12257]
Corresponding Author of This Article
Ru-Yuan Li, MM, Attending Doctor, Department of Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, No. 758 Hefei Road, Qingdao 266035, Shandong Province, China. liruyuan163@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2022; 10(33): 12257-12260 Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12257
Peroral endoscopic myotomy assisted with an elastic ring for achalasia with obvious submucosal fibrosis: A case report
Bai-Hui Wang, Ru-Yuan Li
Bai-Hui Wang, Ru-Yuan Li, Department of Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, Qingdao 266035, Shandong Province, China
Author contributions: Wang BH designed the research; Li RY performed the research.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: All authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ru-Yuan Li, MM, Attending Doctor, Department of Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, No. 758 Hefei Road, Qingdao 266035, Shandong Province, China. liruyuan163@163.com
Received: May 29, 2022 Peer-review started: May 29, 2022 First decision: June 27, 2022 Revised: July 18, 2022 Accepted: October 18, 2022 Article in press: October 18, 2022 Published online: November 26, 2022
Abstract
BACKGROUND
Peroral endoscopic myotomy (POEM) is an established treatment option for esophageal achalasia. However, technical challenges and failures exist. Submucosal fibrosis is a rare cause of aborted POEM procedures.
CASE SUMMARY
We performed POEM with an elastic ring for achalasia with obvious submucosal fibrosis. The short-term outcome was excellent, surgery time was significantly shorter, and success rate was higher with POEM for achalasia with obvious submucosal fibrosis.
CONCLUSION
POEM performed with an elastic ring is a feasible and effective endoscopic treatment modality for achalasia with obvious submucosal fibrosis.
Core Tip: Peroral endoscopic myotomy performed with an elastic ring is a feasible and effective endoscopic treatment modality for achalasia with obvious submucosal fibrosis.
