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Updated: Jul 24, 2025
06:42
Use of the Scissor-Type Knife During the Peroral Endoscopy Myotomy Procedure for the Treatment of Achalasia
Published on: March 3, 2023
3.2K
Per Oral Endoscopic Myotomy in pregnancy
Julie Gomez1, Laura Felder1, Divya Chalikonda2
1Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Summary
This study reports the first successful full-term delivery after Per Oral Endoscopic Myotomy (POEM) during pregnancy. This demonstrates the safety and feasibility of POEM for managing achalasia in pregnant patients.
Area of Science:
- Gastroenterology
- Obstetrics
Background:
- Achalasia, an esophageal motility disorder, presents challenges in pregnancy due to risks of maternal malnutrition and fetal complications.
- Per Oral Endoscopic Myotomy (POEM) is an established endoscopic treatment for achalasia in non-pregnant individuals.
Observation:
- A patient with achalasia and a history of Heller myotomy experienced symptom recurrence during pregnancy.
- The patient underwent Per Oral Endoscopic Myotomy (POEM) for severe achalasia symptoms.
Findings:
- This case represents the first successful full-term delivery following POEM performed during pregnancy.
- The procedure demonstrated feasibility and safety in this unique obstetric and gastrointestinal scenario.
Implications:
- POEM can be a safe and effective option for managing achalasia in pregnant patients.
- A multidisciplinary approach is crucial for successful outcomes in such complex cases.
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