Tawheed A, Bahcecioglu IH, Yalniz M, El-Kassas M. Gastroesophageal reflux after per-oral endoscopic myotomy: Management literature. World J Gastroenterol 2024; 30(23): 2947-2953 [PMID: 38946871 DOI: 10.3748/wjg.v30.i23.2947]
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03700002
Submitted on:
June 30, 2024, 18:38
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Reader Comments:
Congratulations to the authors for their significant contribution in developing a comprehensive algorithm for managing post-POEM (per-oral endoscopic myotomy) gastroesophageal reflux (GER). This article is highly important as it provides a detailed and structured approach for diagnosing and treating post-POEM GER. The identification of various predictive factors for GER after POEM highlights the complexity of the procedure and suggests that personalized approaches based on these factors could be crucial in minimizing complications and improving patient outcomes. This underscores the importance of ongoing research and tailored surgical techniques in enhancing the effectiveness of POEM. Nevertheless, one critique is that the article mainly depends on data from small-scale studies and single-center experiences, which might limit the broader applicability of the findings and recommendations. Future research should focus on larger, multicenter trials to validate the proposed algorithm, refine endoscopic techniques like POEM with fundoplication, and address technical challenges to ensure better clinical practice and patient care.
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