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Role of Short vs Long Esophageal Myotomy for Achlasia cardia.

POEM : Short vs Long Esophageal Myotomy for Achalasia cardia. A Randomised Controlled trial � - -

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/07/035105
Enrollment
66
Registered
2021-07-26
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K220- Achalasia of cardia

Interventions

Intervention1: Short Esophageal Myotomy: Length of Esophageal Myotomy will be less than 3 cm Control Intervention1: Long esophageal myotomy: In this group length of myotomy will be more than 6

Sponsors

Dr Praveer rai
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Age >18 2. Signed informed consent 3. Patient accepts to undergo scheduled follow-up after POEM 4. Eckardt score > 3 5. ASA I-II-III

Exclusion criteria

Exclusion criteria: 1. Prior surgical treatment of achalasia 2. Pregnancy or nursing 3. Type 3 I achalasia cardia or any other esophageal motility disorder 4. Active severe esophagitis,Eosinophilic esophagitis or Barrett Esophagus 5. large lower Esophageal diverticula, Esophageal stricture 6. Large > 3cm hiatal hernia 7. Sigmoid esophagus 9. known Gastro Esophageal malignancy Inability to tolerate sedated upper endoscopy due to cardiopulmonary instability, severe pulmonary disease or other contraindication to endoscopy 10. Current alcohol or drug addiction. 11. Mentally retarded or emotionally unstable, or exhibits psychological characteristics which, in 12. the opinion of the investigator make the subject a poor candidate for this study. 13. Severe congenital or acquired coagulopathy or INR > 1.6 14. Participating in another ongoing clinical trial in which concomitant diagnosis or therapeutic intervention would adversely affect the integrity of the clinical trial.

Design outcomes

Primary

MeasureTime frame
1.Non-inferiority of a Short-POEM compared to a Long-POEMTimepoint: 1 year—

Secondary

MeasureTime frame
1. Basal Lower Esophageal Sphincter (LES) pressure 2. 4-second Integrated Relaxation Pressure (4sIRP) 3. Side effects and complications 4. Comparison of gastroesophageal Reflux disease (GERD) Rates 5. Operating time 6. Comparison of changes in Eckardt score 7. Change in barium column height on barium esophagogramTimepoint: 1 year—

Countries

India

Contacts

Public ContactDr Pankaj kumar

SGPGIMS,lucknow

praveer_rai@yahoo.com8004904781

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026