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RECRUITING
NCT07875686
PHASE2

Full-thickness Versus Progressive Myotomy in Peroral Endoscopic Esophageal Myotomy in Achalasia: A Randomized Controlled Trial

Sponsor: Cairo University

View on ClinicalTrials.gov

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

Interventions

PROCEDURE

Full thickness myotomy

Full thickness myotomy

PROCEDURE

Progressive thickness myotomy

Progressive thickness myotomy

Locations (2)

Cairo University

Cairo, Egypt

Theodore Bilharz Institute

Cairo, Egypt