Health Condition 1: K220- Achalasia of cardia Health Condition 2: K224- Dyskinesia of esophagus
Conditions
Interventions
Intervention1: Longitudinal incision for entry in to submucosal space: Endoscopist who has performed more than 50 cases will perform the POEM procedure. Patients who present with dysphagia, non-cardia
Sponsors
Post graduate institute of medical education and research chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosed cases of Esophageal Motility Disorders ( achalasia cardia type I,II and III, non achalasia cardia- jack hammer esophagus, diffuse esophageal spasm) on the basis of high resolution manometry (HRM)
Exclusion criteria
Exclusion criteria: -Informed consent not available -Contraindication to general anaesthesia -Coagulopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of entry into the submucosal space by transverse versus longitudinal incisionTimepoint: At baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| (i) Complication rate (ii) Ease of completing tunnel and myotomy (iii) Time taken for incision (iv) Need for taking separate incision due to failure of the primary incision (v) Ease of closure of the mucosal incision (vi) Chance of extension of the mucosal incision while doing tunneling Timepoint: At baseline | — |
Countries
India
Contacts
Public ContactJayendra Shukla
Post graduate institute of medical education and research Chandigarh
Outcome results
None listed