| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
|
| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Role of postoperative endoscopy after peroral endoscopic myotomy: Evidence from a large cohort study
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Carolin Kastner, Malika Aktanova, Lars Kollmann, Alexandra Marschalek, Friederike Meyer, Jana Anger, Ilona Flemming, Jakob Lauerer, Alexander Weich, Markus Brand, Alexander Hann, Burkard HA von Rahden, Sven Flemming, Christoph-Thomas Germer and Florian Seyfried |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Florian Seyfried, Department of General, Visceral, Transplantation, Vascular, and Pediatric Surgery, University Hospital Wuerzburg, Oberdürrbacherstraße 6, Wuerzburg 97080, Germany. seyfried_f@ukw.de |
| Key Words |
Achalasia; Peroral endoscopic myotomy; Adverse events; Postoperative endoscopy; Perioperative care |
| Core Tip |
Although peroral endoscopic myotomy (POEM) is an established treatment for achalasia, evidence guiding optimal perioperative management remains limited. In this large single-center cohort of 417 patients, we identified independent risk factors for intraoperative adverse events and pathological findings in postoperative endoscopy following POEM. Risk stratification based on these factors substantially reduced the number needed to screen for clinically relevant endoscopic findings requiring intervention. These data provide evidence-based guidance for individualized perioperative management after POEM and support a selective, risk-adapted postoperative endoscopic strategy that preserves patient safety while reducing unnecessary procedures. |
| Publish Date |
2026-10-27 06:30 |
| Citation |
Kastner C, Aktanova M, Kollmann L, Marschalek A, Meyer F, Anger J, Flemming I, Lauerer J, Weich A, Brand M, Hann A, von Rahden BH, Flemming S, Germer CT, Seyfried F. Role of postoperative endoscopy after peroral endoscopic myotomy: Evidence from a large cohort study. World J Gastroenterol 2026; 32(47): 122272
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| URL |
https://www.wjgnet.com/1007-9327/full/v32/i47/122272.htm |
| DOI |
https://doi.org/10.3748/wjg.122272 |