Navigation Links
Incisionless surgery now available as an investigational treatment for esophageal disorder
Date:8/22/2011

CHICAGO Jorge Sobenes is a husband and father who loves to cook for his family. In a nine month period however, he went from enjoying his favorite foods to not being able to eat or drink due to a tightening in his throat and difficulty swallowing. He lost 40 pounds and was desperate for answers. Sobenes was diagnosed with achalasia, a condition where the esophagus is unable to move food into the stomach, and was told he would need surgery. Historically, the procedure requires several incisions in the abdomen in order to access the blocked esophageal pathway. Sobenes however was able to undergo surgery without any external incisions thanks to an innovative new research approach called PerOral Endoscopic Myotomy (POEM). The procedure is one of a growing number of surgeries to use the body's natural orifices as an entry point, thus eliminating the need for traditional incisions. Northwestern Memorial Hospital is one of only a few centers in the U.S. with surgeons trained to perform the procedure.

"This surgical approach not only eliminates the need for external incisions, but also offers greater precision and a faster healing time for patients," said Eric Hungness, MD, gastrointestinal surgeon at Northwestern Memorial.

POEM is performed by inserting an endoscope in the mouth and tunneling it down the esophagus so surgeons can access and cut abnormal muscle fibers that prevent the valve at the base of the esophagus from opening to allow food to enter the stomach. It is currently under investigation and is being offered as part of a clinical trial at Northwestern Memorial.

Sobenes, who was one of the first patients in the country to be treated for achalasia using the investigational procedure, said the choice was easy for him. "What I was going through was terrible. I couldn't eat. I couldn't drink. I wanted to get back to normal as fast as possible and was happy to hear of this alternative," said Sobenes.

More than 3,000 people are diagnosed with esophageal achalasia each year. The most common symptom is difficulty eating solid food and drinking liquids. As it advances, achalasia can cause considerable weight loss and malnutrition. Common treatments for esophageal achalasia include a traditional surgical approach known as a Heller myotomy, or balloon dilation.

"Previously, we had to make at least five incisions in a patients abdomen in order treat esophageal achalasia surgically," said Hungness. "Although the research continues and final results are not known, POEM is an exciting idea that holds great promise for patients and demonstrates the bright future for incisionless surgeries."

Approximately 150 POEM procedures have been performed in the world since 2008. Hungness, together with Nathanial Soper, MD, chair of surgery at Northwestern Memorial, have been among those pioneering Natural Orifice Translumenal Endoscopic Surgery (NOTES). The team was the second in the country to perform a gallbladder removal through the mouth in 2007, and has since removed a gallbladder through the vagina as well.

Doctors stress that treatment options must be carefully selected based on the unique needs of the patient, but say minimally invasive procedures such as POEM have been shown to offer an array of potential benefits including greater surgical precision, a shorter recovery time, shorter hospital stay, less pain and in the case of POEM, a lower incidence of reflux post procedure.

"This is the future of surgery," said Soper. "With each new procedure, we learn how to apply the technique and technology to other surgeries and develop new tools."


'/>"/>

Contact: Colleen Sheehan
csheehan@nmh.org
312-926-7769
Northwestern Memorial Hospital
Source:Eurekalert

Related medicine news :

1. Marriage May Do a Heart Good for Bypass Surgery
2. Paper on automation in surgery wins 2011 Human Factors Prize for Excellence in HF/E Research
3. Method to Detect When Patients Wake During Surgery Fails to Impress
4. Central Catheters May Raise Risk of Blood Clots After Surgery
5. Study finds flexible-fiber CO2 laser safe in endoscopic endonasal transsphenoidal surgery
6. Many Men Underestimate Prostate Surgery Side Effects
7. Weight-Loss Surgery Gains More Practitioners
8. Warning signs predict kidney injury after surgery
9. New approach to thyroid surgery eliminates neck scar
10. Improved radical surgery techniques provide positive outcomes for bladder cancer patients
11. Men have overly optimistic expectations about recovery from prostate cancer surgery, U-M study finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/25/2017)... Beach, Florida (PRWEB) , ... July 25, 2017 ... ... employee, Jennifer Haller, to the sales department joining as Regional Account Manager for ... relationships with contracted customers in the liquidation of their obsolete medical assets. , ...
(Date:7/25/2017)... ... July 25, 2017 , ... ... and finance management services to communities across North Carolina, is launching a charity ... to raise community support for the ongoing fight against bladder cancer. , The ...
(Date:7/25/2017)... ... 25, 2017 , ... Dr. Donna Bergman, professor of education ... published an article in the medical science journal Physical Medicine and Rehabilitation titled ... and the research that helped produce it, were written and conducted in collaboration ...
(Date:7/25/2017)... , ... July 25, 2017 , ... ... as medical director. Dr. Negrette has more than a decade of experience in ... worked closely with individuals fighting addictions, eating disorders, psychotic and manic conditions, as ...
(Date:7/25/2017)... , ... July 25, 2017 , ... ... for its Product Innovation in the prestigious CEO World Awards®. The coveted annual ... new products and services, CEO case studies, corporate social responsibility, and milestones from ...
Breaking Medicine News(10 mins):
(Date:7/21/2017)... 2017 Did you know that PhRMA member companies invested ... combined spending on brand medicines, generics and the supply chain account ... for just half of this (7 percent)? Or that ... world,s venture capital investments in high-growth biopharmaceutical startups? ... The ...
(Date:7/17/2017)... 17, 2017  MedX Holdings, Inc., the manufacturer and ... and rehabilitation equipment, today announced the national roll out ... considered the gold standard for the treatment of low ... strengthening equipment. How ... physician or practice who prescribe the MedX Home Back ...
(Date:7/14/2017)... LAS VEGAS , July 13, 2017 It ... the United States is in the midst of ... Disease Control , since 1999, the number of overdose deaths ... , "resulting in over half a million dead from 2001 ... like codeine, oxycodone, and hydrocodone has similarly quadrupled, drawing a ...
Breaking Medicine Technology: