Impedance planimetry (EndoFLIP) assisted laparoscopic esophagomyotomy in pediatric population
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Read the article on jpedsurg.org ↗Article · May 2022 · 1 min read
In brief
In brief
Retrospective study of 10 pediatric achalasia patients found EndoFLIP-guided laparoscopic esophagomyotomy achieved 100% symptom resolution with significantly shorter operative time (97 vs 185 minutes) compared to traditional technique. Real-time impedance planimetry allowed objective assessment of myotomy adequacy via distensibility index measurements.
Written by the GCMD Library team from the article.
Introduction
Functional lumen imaging probe (EndoFLIP) is a diagnostic technology that assesses esophageal cross-sectional area via impedance planimetry during controlled volumetric distention. The purpose of this study is to evaluate the utility of EndoFLIP intraoperatively during laparoscopic esophagomyotomy.
Methods
We performed a retrospective cohort study reviewing all patients undergoing EndoFLIP assisted laparoscopic esophagomyotomy for achalasia between January and December 2021 (n=10). Twenty-two patients with achalasia that underwent traditional laparoscopic esophagomyotomy between July 2014 and September 2019 served as a comparison. Primary outcome evaluated was resolution of symptoms at discharge. Secondary outcomes included change in distensibility index (DI), operative time, length of stay, time to regular diet, and reinterventions.
Results
All patients managed with EndoFLIP assistance had resolution of dysphagia and postprandial vomiting following intervention. Mean change in DI was 5.32 mm2/mmHg with a myotomy length of 3.6 cm. Operative time was shorter in the EndoFLIP cohort (97 minutes versus 185 minutes, p =