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Full-thickness Versus Progressive Myotomy in Peroral Endoscopic Esophageal Myotomy in Achalasia: A Randomized Controlled Trial
Sponsor: Cairo University
Summary
Peroral endoscopic esophageal myotomy (POEM) has been established as an effective therapy for Achalasia. It is still not known how deep the myotomy should be and if it should include the circular and longitudinal muscles or not. It is hypothesized that a complete full thickness myotomy could lead to higher rates of gastroesophageal reflux disease (GERD). In this study we compare performing a Full-thickness myotomy with a progressive myotomy (proximal half circular only, distal half full-thickness, and assessment the different outcomes including efficacy and the incidence of postprocedural GERD.
Key Details
Gender
All
Age Range
18 Years - 90 Years
Study Type
INTERVENTIONAL
Enrollment
70
Start Date
2025-08-01
Completion Date
2027-01-30
Last Updated
2026-10-15
Healthy Volunteers
No
Conditions
Interventions
Full thickness myotomy
Full thickness myotomy
Progressive thickness myotomy
Progressive thickness myotomy
Locations (2)
Cairo University
Cairo, Egypt
Theodore Bilharz Institute
Cairo, Egypt