Endoscopic Myotomy of the Lower Esophageal Sphincter for Achalasia
POEM
Endoscopic Submucosal Tunnel Dissection for Endoluminal Partial Myotomy of the Lower Esophageal Sphincter for Achalasia
1 other identifier
interventional
350
1 country
1
Brief Summary
This is a study of the safety and efficacy of a new surgical procedure using endoscopic instruments and a tunneling technique to reach the LES for dissection. We hypothesize that this technique provides an incisionless, less invasive option with similar functional outcome compared to standard Heller myotomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2010
CompletedFirst Submitted
Initial submission to the registry
July 19, 2011
CompletedFirst Posted
Study publicly available on registry
July 21, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2019
CompletedAugust 30, 2019
August 1, 2019
8.9 years
July 19, 2011
August 29, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Improved quality of life as defined by survey pre and post surgery
patients diagnosed with achalasia will be given a quality of life survey before surgery and again six months after surgery.
six months
Secondary Outcomes (2)
Negative pH test
six months
Bleeding
1 year
Study Arms (1)
Endoscopic Myotomy
EXPERIMENTALInterventions
Patients will receive the surgical procedure described in the summary (POEM).
Surgical procedure
Eligibility Criteria
You may qualify if:
- Ability to undergo general anesthesia
- Age \> 18 yrs. of age and \< 85 yrs. of age
- Ability to give informed consent
- Candidate for elective Heller myotomy
You may not qualify if:
- Previous mediastinal or esophageal surgery
- Contraindications for esophagogastroduodenoscopy
- BMI \> 45
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Oregon Clinic
Portland, Oregon, 97210, United States
Related Publications (1)
Kurian AA, Dunst CM, Sharata A, Bhayani NH, Reavis KM, Swanstrom LL. Peroral endoscopic esophageal myotomy: defining the learning curve. Gastrointest Endosc. 2013 May;77(5):719-25. doi: 10.1016/j.gie.2012.12.006. Epub 2013 Feb 5.
PMID: 23394838DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lee L Swanstrom, MD
The Oregon Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Lee Swanstrom, MD
Study Record Dates
First Submitted
July 19, 2011
First Posted
July 21, 2011
Study Start
September 1, 2010
Primary Completion
August 1, 2019
Study Completion
August 1, 2019
Last Updated
August 30, 2019
Record last verified: 2019-08