{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:10Z","timestamp":1787004850758,"version":"build-2736575974"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2002Laparoscopic fundoplication is the treatment of severe and refractory gastroesophageal reflux disease (GERD). It induces dysphagia in 5\u200a%\u200a\u2013\u200a10\u200a% owing to a tight valve \u00b1 esophageal motility disorders (EMD), with challenging management. We assessed the first case series assessing peroral endoscopic myotomy (POEM) in such a situation.<\/jats:p>\n                  <jats:p>Methods\u2002A retrospective case series including eight patients with severe dysphagia after laparoscopic fundoplication who were treated by POEM. They were assessed clinically by Eckardt and Mellow\u200a\u2013\u200aPinkas dysphagia scores, and by high resolution manometry (HRM). The procedure was a regular esophageal POEM, mainly posterior, including a myotomy of the wrap.\u200aThe objectives were to evaluate the clinical efficacy, technical difficulties, and complications of this approach.<\/jats:p>\n                  <jats:p>Results\u2002HRM showed aperistalsis in 6\u200a\/8 patients and raised lower esophageal sphincter (LES) pressure in 5\u200a\/8.\u200aThe median preoperative Eckardt and dysphagia scores were 5 and 3.5, respectively. The procedure was completed in 7\u200a\/8 patients, with a clinical efficacy rate (normalization of both scores) of 75\u200a% (6\u200a\/8). Although the submucosa seemed more fibrotic and vascularized, no severe complications occurred.<\/jats:p>\n                  <jats:p>Conclusion\u2002POEM is a newly described therapeutic option to consider for managing dysphagia due to EMD after laparoscopic fundoplication.<\/jats:p>","DOI":"10.1055\/a-1147-1348","type":"journal-article","created":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T19:14:14Z","timestamp":1587669254000},"page":"583-588","source":"Crossref","is-referenced-by-count":8,"title":["Peroral endoscopic myotomy (POEM) for dysphagia and esophageal motor disorder after antireflux fundoplication"],"prefix":"10.1055","volume":"52","author":[{"given":"Jean-Michel","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Service de gastroent\u00e9rologie, Aix-Marseille Universit\u00e9, AP-HM, H\u00f4pital Nord, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Monino","sequence":"additional","affiliation":[{"name":"Service de gastroent\u00e9rologie, Aix-Marseille Universit\u00e9, AP-HM, H\u00f4pital Nord, Marseille, France"},{"name":"Department of Hepatogastroenterology, Universit\u00e9 catholique de Louvain, Cliniques universitaires Saint-Luc, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Ah-Soune","sequence":"additional","affiliation":[{"name":"Service d\u2019h\u00e9pato-gastroent\u00e9rologie, CHG Sainte Musse, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Vitton","sequence":"additional","affiliation":[{"name":"Service de gastroent\u00e9rologie, Aix-Marseille Universit\u00e9, AP-HM, H\u00f4pital Nord, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Barthet","sequence":"additional","affiliation":[{"name":"Service de gastroent\u00e9rologie, Aix-Marseille Universit\u00e9, AP-HM, H\u00f4pital Nord, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,4,23]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1147-1348.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T18:31:58Z","timestamp":1593023518000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1147-1348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,23]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2020,6,24]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1147-1348","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,23]]}}}