Peroral Endoscopic Myotomy for the Treatment of Achalasia in Children

Familiari, Pietro; Marchese, Michele; Gigante, Giovanni; Boskoski, Ivo; Tringali, Andrea; Perri, Vincenzo; Costamagna, Guido

Journal of Pediatric Gastroenterology & Nutrition: December 2013 - Volume 57 - Issue 6 - p 794–797
doi: 10.1097/MPG.0b013e3182a803f7
Original Articles: Gastroenterology

ABSTRACT: Peroral endoscopic myotomy (POEM) is a new endoscopic technique for the treatment of esophageal achalasia, with excellent results in adults. Three children with classic-type achalasia (mean age 9.6 years) underwent POEM in a single center. Mean basal lower esophageal sphincter pressure and Eckard score were 34.6 mmHg and 5.3, respectively. Mean length of myotomy was 10 cm. On average, POEM was completed in 60.6 minutes. No patients experienced postoperative complications or gastroesophageal reflux disease. In the 2 patients who completed a 12-month follow-up, complete symptoms relief was documented (Eckard score 0), as well as a significant drop of the basal lower esophageal sphincter pressure.

Digestive Endoscopy Unit, Università Cattolica del Sacro Cuore, Gemelli University Hospital, Rome, Italy.

Address correspondence and reprint requests to Pietro Familiari, MD, PhD, Digestive Endoscopy Unit, Gemelli University Hospital, Università Cattolica del Sacro Cuore, Largo Gemelli 8, 00168 Rome, Italy (e-mail: pietrofamiliari@tiscali.it).

Received 3 August, 2013

Accepted 3 August, 2013

The authors report no conflicts of interest.

© 2013 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,