Comparing Short vs. Long Tunnel in POEM for Type II Achalasia
Part of Digestive system clinical trials.
This study tests whether a shorter or longer tunnel inside the esophagus works better during a procedure called POEM (Per-Oral Endoscopic Myotomy) to treat type II achalasia, a swallowing problem. The goal is to find out which method gives better symptom relief with fewer risks.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You are diagnosed with type II achalasia, a condition where the esophagus has trouble pushing food to the stomach.
- You must have moderate to severe symptoms, scored above 3 on a standard symptom scale called the Eckardt score.
- You must be diagnosed using high-resolution manometry, a test that measures pressure in your esophagus, with specific patterns (failed contractions and high pressure).
- You are not included if you have other types of achalasia (type I or III), a severely twisted esophagus, or certain other conditions like large hiatal hernias or severe inflammation.
- You cannot have had previous Heller's myotomy surgery for achalasia.
- You must have normal blood clotting (no severe bleeding disorder).
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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