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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 14, 2025; 31(6): 100510
Published online Feb 14, 2025. doi: 10.3748/wjg.v31.i6.100510
Published online Feb 14, 2025. doi: 10.3748/wjg.v31.i6.100510
Reflux after peroral endoscopic myotomy: The dilemma and the options
Priya Hazrah, Department of Surgery, Lady Hardinge Medical College, New Delhi 110001, Delhi, India
Author contributions: Hazrah P contributed to literature review, data compilation, writing of the entire manuscript, review and editing; the author read and approved the final version of the manuscript to be published.
Conflict-of-interest statement: There are no financial or non financial conflicts of interest including but not limited to commercial, personal, political, intellectual or religious interests.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Priya Hazrah, MS, Professor, Department of Surgery, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi 110001, Delhi, India.
Received: August 18, 2024
Revised: December 7, 2024
Accepted: December 23, 2024
Published online: February 14, 2025
Processing time: 144 Days and 18.5 Hours
Revised: December 7, 2024
Accepted: December 23, 2024
Published online: February 14, 2025
Processing time: 144 Days and 18.5 Hours
Core Tip
Core Tip: The incidence of symptomatic gastroesophageal reflux disease differs from that of pathologic reflux, as observed in endoscopy and potential of hydrogen studies after per oral endoscopic myotomy (POEM). Pathologic reflux is more common after POEM than laparoscopic Hellers myotomy. It is attributed to difference in the technique used or because an anti-reflux procedure is not routinely added to POEM. Post-POEM reflux can be managed with proton pump inhibitors or surgically with new emerging operative techniques.