{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:33Z","timestamp":1787776293047,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Aim:<\/jats:title>\n                    <jats:p>Several uncontrolled studies comparing peroral endoscopic myotomy (POEM) and Heller myotomy have demonstrated equivalent short-term efficacy and safety. However, no data exists rergarding the cost of POEM and how it compares to that of robotic Heller myotomy (RHM). The primary aim of this study was to compare the inpatient charges incurred in patients who underwent POEM or RHM for the treatment of achalasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>A retrospective single center review was conducted among 52 consecutive POEM patients (2012\u20132014) and 52 consecutive RHM patients (2009\u20132014). All RHM procedures included a Toupet fundoplication and were performed via a transabdominal approach. All POEM procedures were performed by a gastroenterologist in the endoscopy unit. Clinical response was defined by improvement of symptoms and decrease in Eckardt stage to \u2264I. All procedural and facility charges were obtained from review of the hospital finance records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no difference between POEM and RHM with regards to age, gender, symptom duration, achalasia subtype, manometry findings, or Eckardt symptom stage. There was no significant difference in the rate of adverse events (19.2% vs 9.6%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.26) or the length of stay (1.9 vs. 2.3,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.18) between both groups. Clinical response rate of patients in the POEM groups was similar to that in the RHM group (94.3% vs. 88.5%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.48). POEM incurred significantly less total charges compared to LHM ($14481 vs. $17782,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>POEM when performed in an endoscopy unit was similar in efficacy and safety to RHM. However, POEM was associated with significant cost savings ($3301\/procedure).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/1319-3767.203360","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T06:55:36Z","timestamp":1680072936000},"page":"91-96","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":19,"title":["Peroral Endoscopic Myotomy Achieves Similar Clinical Response but Incurs Lesser Charges Compared to Robotic Heller Myotomy"],"prefix":"10.4103","volume":"23","author":[{"given":"Mouen A.","family":"Khashab","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Kumbhari","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saowanee","family":"Ngamruengphong","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikesh K.","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony N.","family":"Kalloo","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John O.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen M.","family":"Stein","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250523","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.gie.2015.06.013","article-title":"Comprehensive analysis of efficacy and safety of peroral endoscopic myotomy performed by a gastroenterologist in the endoscopy unit: A single-center experience","volume":"83","author":"Khashab","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"R2-20250523","doi-asserted-by":"crossref","first-page":"496","DOI":"10.4253\/wjge.v7.i5.496","article-title":"Peroral endoscopic 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