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1Efficacy of peroral endoscopic myotomy vs other achalasia treatments in improving esophageal function显示文摘AIM: To assess and compare the esophageal function after peroral endoscopic myotomy(POEM) vs other conventional treatments in achalasia.METHODS: Chart review of all achalasia patients who underwent POEM, laparoscopic Heller myotomy(LHM) or pneumatic dilation(PD) at our institution between January 2012 and March 2015 was performed. Patient demographics, type of achalasia, prior treatments, pre- and post-treatment timed barium swallow(TBE) and high-resolution esophageal manometry(HREM) findings were compared between the three treatment groups. Patients who had both pre- and 2 mo posttreatment TBE or HREM were included in the final analysis. TBE parameters compared were barium column height, width and volume of barium remaining at 1 and 5 min. HREM parameters compared were basal lower esophageal sphincter(LES) pressures and LES-integrated relaxation pressures(IRP). Data are presented as mean ± SD, median [25th, 75 th percentiles] or frequency(percent). Analysis of variance, KruskalWallis test, Pearsons χ~2 test and Fishers Exact tests were used for analysis.RESULTS: A total of 200 achalasia patients were included of which 36 underwent POEM, 22 underwent PD and 142 underwent LHM. POEM patients were older(55.4 ± 16.8 years vs 46.5 ± 15.7 years, P = 0.013) and had higher BMI than LHM(29.1 ± 5.9 kg/m^2 vs 26 ± 5.1 kg/m^2, P = 0.012). More number of patients in POEM and PD groups had undergone prior treatments compared to LHM group(72.2% vs 68.2% vs 44.3% respectively, P = 0.003). At 2 mo post-treatment, all TBE parameters including barium column height, width and volume remaining at 1 and 5 min improved significantly in all three treatment groups(P = 0.01 to P < 0.001) except the column height at 1 min in PD group(P = 0.11). At 2 mo post-treatment, there was significant improvement in basal LES pressure and LES-IRP in both LHM(40.5 mm Hg vs 14.5 mm Hg and 24 mm Hg vs 7.1 mm Hg respectively, P < 0.001) and POEM groups(38.7 mm Hg vs 11.4 mm Hg and 23.6 mm Hg vs 6.6 mm Hg respectively, P < 0.001). However, when the efficacy of three treatments were compared to each other in terms of improvement in TBE or HREM parameters at 2 mo, there was no significant difference(P > 0.05).CONCLUSION: POEM, PD and LHM were all effective in improving esophageal function in achalasia at shortterm. There was no difference in efficacy between the three treatments.Madhusudhan R Sanaka Umar Hayat Prashanthi N Thota Ramprasad Jegadeesan Monica Ray Scott L Gabbard Neha Wadhwa Rocio Lopez Mark E Baker Sudish Murthy Siva Raja 2016World Journal of Gastroenterology2016,22,20:7
2Gemcitabine-based or capecitabine-based chemoradiotherapy for locally advanced pancreatic cancer (SCALOP): a multicentre, randomised, phase 2 trial显示文摘Somnath Mukherjee Christopher N Hurt John Bridgewater Stephen Falk Sebastian Cummins Harpreet Wasan Tom Crosby Catherine Jephcott Rajarshi Roy Ganesh Radhakrishna Alec McDonald Ruby Ray George Joseph John Staffurth Ross A Abrams Gareth Griffiths Tim Maugh 2013Lancet Oncology2013,,4:4
3Energy transfer in triton -X 100 micelles : a fluorescence study 显示文摘Saha D C Ray K Misra T N 2000Spectrochimica Acta A2000,56,:1
4Motion gradient vector flow:an external force for tracking rolling leukocytes with shape and size constrained active contours显示文摘Ray N Acton ST 2004IEEE Trans MI2004,23,:1
5Influence of probiotics and fibre on the incidence of bacterial infections following major abdominal surgery-results of a prospective trial显示文摘Rayes N Seehofer D Muller AR 2002Z Gastroenterol2002,40,10:1
6Early enteral supply of fiber and Lactobaeiili versus conventional nutrition: A controlled trial inpatients with major abdominal surgery显示文摘Rayes N Hansen S Seehofer D 2002Nutrition2002,18,78:1
7Improvement of quality of sesame (Seasamum indicum) seed meal protein with supplemental amino acids in feeds for rohu, Labeo rohita (Hamilton) fingerlings 显示文摘Mukhopadhyay N Ray A K 1999Aquaculture Research1999,30,8:1
8Knockdown of hTERT and concurrent treatment with interferon-gamma inhibited proliferation and invasion of human glioblastoma cell lines 显示文摘George J Banik N L Ray S K 2010Int J Biochem Cell Biol2010,42,7:1
9Nolinear control of high purity distillation column under input saturation and parametric uncertainty 显示文摘BISWAS P P RAY S SAMANTA A N 2009Journal of Process Control2009,19,1:1
10Isolation and characterization of rhamnolipid-producing bacterial strains from a biodiesel facility显示文摘ROONEY A P PRICE N P RAY K J 2009FEMS Microbiol Lett2009,295,1:1
11An anonymous and failure resilient fair-exchange e-commerce protocol显示文摘RAY I NATARAJAN N 2005Decision Support Systems2005,39,3:1
12A modified AIDA protocol with anthracycline-based consolidation results in high antileukemic efficacy and reduced toxicity in newly diagnosed PML/RA Ralpha-positive acute promyelocytic leukemia显示文摘Sanz M A Martín G Rayón C 1999PETHEMA group Blood1999,94,9:1
13Analysis of failed reformer tubes显示文摘RAY A K SINHA S K TIWARI Y N 2003Engineering Failure Analysis2003,10,:1
14Changes in sleep-wakefulness in the medial preoptic area lesioned rats:role of thermal preference显示文摘Ray B Mallick H N Kumar V M 2005Behav Brain Res2005,158,1:1
15Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994显示文摘Ray N F Denton W ( Thamer M 1998Journal of American College of Surgeons1998,186,1:1
16Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study 显示文摘Kumarasamy KK Toleman MA Walsh TR Bagaria J Butt F Balakrishnan R Chaudhary U Doumith M Giske CG Irfan S Krishnan P Kumar AV Maharjan S Mushtaq S Noorie T Paterson DL Pearson A Perry C Pike R Rao B Ray U Sarma JB Sharma M Sheridan E Thirunarayan MA Turton J Upadhyay S Warner M Welfare W Livermore DM Woodford N 2010Lancet Infect Dis2010,10,9:1
17Insights into heap bioleaching of low grade chalcopyrite ores--A pilot scale study显示文摘PANDA S SAN JAY K SUKLA L B PRADHAN N SUBBAIAH T MISHRA B K PRASAD M S R RAY S K 2012Hydrometallurgy2012,125,:1
18Least squares conformal maps for automatic texture atlas generation显示文摘Lévy B Petitjean S Ray N 2002ACM Transactions on Graphics2002,21,3:1
19Antiviral combination therapy for lamivudine-resistant hepatitis B reinfection after transplantation 显示文摘Seehofer D Rayes N Berg T 2000Transpl Int2000,13,10:1
20For better or for worse:neural systems supporting the cognitive down-and up-regulation of negative emotion显示文摘K N OCHSNER RAY R D ROBERTSON E Neuroimage0,,:1
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