Abayli Bahri, Ozer Ali Ilker, Kuvvetli Adnan, Biricik Serdar, Avci Begum Seyda, Demir Ozan, Felek Duygu, Sahan Ozge, Tugcan Mustafa Oguz, Sumbul Hilmi Erdem, Avci Akkan
Department of Gastroenterology, Seyhan State Hospital, Adana, Turkiye.
Department of Emergency Medicine, University of Health Sciences, Adana City Training and Research Hospital, Adana, Turkiye.
North Clin Istanb. 2025 Apr 24;12(2):211-215. doi: 10.14744/nci.2024.08466. eCollection 2025.
Achalasia is a movement disorder of the esophagus that continues with chest pain, dysphagia, weight loss, regurgitation of undigested foods, recurrent aspiration and night cough.
Weight loss, presence of dysphagia, presence of retrosternal pain and regurgitation were recorded before POEM treatment and preoperative Eckardt Score was calculated and recorded. Patients were recorded at the 6 month after POEM treatment recording weight loss, dysphagia presence, retrosternal pain and regurgitation presence and calculating postoperative Eckardt score.
The change between the postoperative and preoperative values of the patients was calculated as ∆ value. As a result of the examination, no significant difference was found between the values ∆weight loss, ∆dysphagia, ∆retrosternal pain, ∆regurgitation and ∆Eckardt score and gender variable (respectively, p=0.112; p=0.412; p=0.619; p=0.171; p=0.092). Postoperative weight loss, dysphagia, retrosternal pain, regurgitation and Eckardt score values were found to be lower than preoperative values. (respectively, p<0.001;p<0.001; p<0.001; p<0.001; p<0.001).
Peroral endoscopic myotomy treatment is an effective treatment method with its being more reliable, lower complication risk, being less invasive and with postprocedural and clinical results.
贲门失弛缓症是一种食管运动障碍性疾病，常伴有胸痛、吞咽困难、体重减轻、未消化食物反流、反复误吸及夜间咳嗽。
记录经口内镜下肌切开术（POEM）治疗前的体重减轻情况、吞咽困难的存在情况、胸骨后疼痛的存在情况及反流情况，并计算和记录术前埃卡德特评分。在POEM治疗后6个月记录患者的体重减轻情况、吞咽困难的存在情况、胸骨后疼痛的存在情况及反流情况，并计算术后埃卡德特评分。
计算患者术后与术前值之间的变化作为∆值。检查结果显示，∆体重减轻、∆吞咽困难、∆胸骨后疼痛、∆反流及∆埃卡德特评分与性别变量之间均无显著差异（分别为p = 0.112；p = 0.412；p = 0.619；p = 0.171；p = 0.092）。术后体重减轻、吞咽困难、胸骨后疼痛、反流及埃卡德特评分值均低于术前值。（分别为p < 0.001；p < 0.001；p < 0.001；p < 0.001；p < 0.001）。
经口内镜下肌切开术治疗是一种有效的治疗方法，具有更高的可靠性、更低的并发症风险、更小的侵入性以及良好的术后和临床效果。
