Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2022; 10(17): 5655-5666
Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5655
High Eckardt score and previous treatment were associated with poor postperoral endoscopic myotomy pain control: A retrospective study
Wan-Nan Chen, Yao-Lin Xu, Xiao-Guang Zhang
Wan-Nan Chen, Xiao-Guang Zhang, Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Yao-Lin Xu, Department of General Surgery, Zhongshan Hospital Fudan University, Shanghai 200032, China
Author contributions: Chen WN and Xu YL contributed equally to this work; Chen WN designed the research; Chen WN and Zhang XG managed the clinical process; Xu YL collected clinical data; Chen WN and Xu YL wrote the manuscript; Zhang XG revised the manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Zhongshan Hospital affiliated with Fudan University, No. B2018-004R.
Conflict-of-interest statement: There are no conflicts of interest related to this study.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at zhang.xiaoguang@zs-hospital.sh.cn.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
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: Xiao-Guang Zhang, MD, Doctor, Department of Anesthesia, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, Shanghai 200032, China. zhang.xiaoguang@zs-hospital.sh.cn
Received: November 13, 2021
Peer-review started: November 13, 2021
First decision: December 27, 2021
Revised: March 25, 2022
Accepted: April 4, 2022
Article in press: April 4, 2022
Published online: June 16, 2022
Core Tip

Core Tip: Post-peroral endoscopic myotomy (POEM) pain management has been neglected by anesthesiologists and endoscopists. In the present study, we found that achalasia patients experienced moderate to severe postoperative pain after the POEM procedure. The preoperative Eckardt score, previous treatment, and a longer distance between the muscle incision ending and the cardia were high risk factors for postoperative pain.