Comparison of Endoscopic Dilatation and ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Comparison of Endoscopic Dilatation and Heller's Myotomy for Treating Esophageal Achalasia in Children: A Multicenter Study.
Auteur(s) :
Nicolas, Audrey [Auteur]
Aumar, Madeleine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Tran, Léa Chantal [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Tiret, Alice [Auteur]
Duclaux-Loras, Rémi [Auteur]
Bridoux-Henno, Laure [Auteur]
Campeotto, Florence [Auteur]
Fabre, Alexandre [Auteur]
Breton, Anne [Auteur]
Languepin, Jeanne [Auteur]
Kyheng, MaÉva [Auteur]
Viala, Jérôme [Auteur]
Coopman, Stéphanie [Auteur]
Gottrand, Frédéric [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Aumar, Madeleine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Tran, Léa Chantal [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Tiret, Alice [Auteur]
Duclaux-Loras, Rémi [Auteur]
Bridoux-Henno, Laure [Auteur]
Campeotto, Florence [Auteur]
Fabre, Alexandre [Auteur]
Breton, Anne [Auteur]
Languepin, Jeanne [Auteur]
Kyheng, MaÉva [Auteur]
Viala, Jérôme [Auteur]
Coopman, Stéphanie [Auteur]
Gottrand, Frédéric [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Titre de la revue :
The Journal of pediatrics
Nom court de la revue :
J Pediatr
Numéro :
251
Pagination :
134-139.e2
Date de publication :
2022-07-13
ISSN :
1097-6833
Mot(s)-clé(s) en anglais :
Child
Male
Humans
Female
Heller Myotomy
Esophageal Achalasia
Dilatation
Retrospective Studies
Endoscopy
Heller's myotomy
achalasia
children
endoscopic dilatation
Male
Humans
Female
Heller Myotomy
Esophageal Achalasia
Dilatation
Retrospective Studies
Endoscopy
Heller's myotomy
achalasia
children
endoscopic dilatation
Résumé en anglais : [en]
To compare the efficacy of, and complications from, the 2 main treatments for achalasia: endoscopic dilatation and surgical cardiomyotomy (Heller's myotomy). We retrospectively collected data on children treated for achalasia ...
Lire la suite >To compare the efficacy of, and complications from, the 2 main treatments for achalasia: endoscopic dilatation and surgical cardiomyotomy (Heller's myotomy). We retrospectively collected data on children treated for achalasia over an 11-year period from 8 tertiary pediatric centers. A line of treatment was defined as performing either Heller's myotomy or 1-3 sessions of endoscopy dilatation over 3 months. Treatment success was a priori defined as clinical improvement and no need for new treatment. Ninety-seven children (median age, 12 years; 57% boys) were included. The median time to diagnosis was 10.5 months, and the median follow-up period was 27 months. Thirty-seven children were treated by Heller's myotomy and 60 by endoscopy dilatation as the first-line treatment. After adjustment for potentially confounding factors, Heller's myotomy was significantly more successful than endoscopy dilatation (hazard ratio, 3.93 [1.74; 8.88]; P = .001), with a median survival without failure of 49 and 7 months, respectively, and with no significant difference in the occurrence of complications (35.2% for Heller's myotomy, 29.7% for endoscopy dilatation, P = .56). Hydrostatic dilatation was as successful as pneumatic dilatation (hazard ratio, 1.35 [0.56; 3.23]; P = .50). Heller's myotomy is more successful than endoscopy dilatation, with no significant difference in the occurrence of serious complications. This raises the potential role of peroral endoscopic myotomy as an alternative treatment to Heller's myotomy.Lire moins >
Lire la suite >To compare the efficacy of, and complications from, the 2 main treatments for achalasia: endoscopic dilatation and surgical cardiomyotomy (Heller's myotomy). We retrospectively collected data on children treated for achalasia over an 11-year period from 8 tertiary pediatric centers. A line of treatment was defined as performing either Heller's myotomy or 1-3 sessions of endoscopy dilatation over 3 months. Treatment success was a priori defined as clinical improvement and no need for new treatment. Ninety-seven children (median age, 12 years; 57% boys) were included. The median time to diagnosis was 10.5 months, and the median follow-up period was 27 months. Thirty-seven children were treated by Heller's myotomy and 60 by endoscopy dilatation as the first-line treatment. After adjustment for potentially confounding factors, Heller's myotomy was significantly more successful than endoscopy dilatation (hazard ratio, 3.93 [1.74; 8.88]; P = .001), with a median survival without failure of 49 and 7 months, respectively, and with no significant difference in the occurrence of complications (35.2% for Heller's myotomy, 29.7% for endoscopy dilatation, P = .56). Hydrostatic dilatation was as successful as pneumatic dilatation (hazard ratio, 1.35 [0.56; 3.23]; P = .50). Heller's myotomy is more successful than endoscopy dilatation, with no significant difference in the occurrence of serious complications. This raises the potential role of peroral endoscopic myotomy as an alternative treatment to Heller's myotomy.Lire moins >
Comité de lecture :
Oui
Audience :
Non spécifiée
Établissement(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Date de dépôt :
2022-12-14T09:42:15Z
2022-12-14T09:44:30Z
2022-12-14T13:49:38Z
2022-12-14T09:44:30Z
2022-12-14T13:49:38Z
Fichiers
- Nicolas Achalasia J Peds 2022.pdf
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