Short vs long tunnel for esophageal muscle cutting in achalasia
Part of Digestive system clinical trials.
This trial compares two ways of doing a procedure called POEM for people with type II achalasia, a condition where the muscle at the bottom of the esophagus doesn't relax properly. It tests whether a shorter or longer tunnel under the lining of the esophagus works better to help you swallow comfortably.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You have been diagnosed with type II achalasia using a special pressure test (manometry).
- Your symptom score (Eckardt) is higher than 3, meaning you have moderate to severe trouble swallowing.
- You have not had a previous surgery called Heller myotomy.
- Your esophagus is not very twisted or wide (less than 6 cm in diameter).
- You do not have severe heartburn damage (grade C or D) or Barrett's esophagus.
- You do not have a bleeding problem (INR under 1.5 and platelets over 50,000).
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
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Other trials that look related to this one.
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This trial uses a special swallowing test (high-resolution manometry with impedance) to see how well the esophagus clears food and liquid after a POEM procedure for achalasia. It may help doctors understand if the treatment is working properly.
This trial compares two different ways to perform a procedure called POEM for patients with type II achalasia, a swallowing disorder. The goal is to see if a shorter tunnel technique works just as well as the standard longer one.
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