Intraoperative Functional Luminal Imaging to Assess Esophagogastric Junction Distensibility during Per-Oral Endoscopic Myotomy in Pediatric Patients
Robert Wright, Stephanie Chao, James Wall*
Division of Pediatric Surgery, Lucile Packard Children’s Hospital Stanford, USA
- Corresponding Author:
- James Wall
777 Welch Road
Suite J Stanford
CA 94305, USA
E-mail: [email protected]
Received Date: July 04, 2014; Accepted Date: August 14, 2014; Published Date: August 20, 2014
Citation: Wright R, Chao S, Wall J (2014) Intraoperative Functional Luminal Imaging to Assess Esophagogastric Junction Distensibility during Per-Oral Endoscopic Myotomy in Pediatric Patients. J Gastroint Dig Syst 4:207. doi: 10.4172/2161-069X.1000207
Copyright: © 2014 Wright R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of being incisionless, preserving the outer longitudinal esophageal muscle fibers and avoiding a hiatal dissection. Endoscopic functional luminal imaging probes enable real-time measurement of luminal diameter and pressure. These probes offer intraoperative guidance to the extent and completeness of the POEM procedure. Post-operative measurements have been correlated to outcomes of dysphagia and reflux in the adult population. No functional luminal imaging exists for the pediatric population. 2 POEM procedures were performed at our children’s hospital using luminal imaging.