[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100646813":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":25,"centralContacts":30,"locations":38,"responsibleParty":55,"collaborators":24,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":24,"eligibilityCriteria":64,"healthyVolunteers":60,"sex":65,"minAge":24,"maxAge":24,"enrollmentInfo":66,"targetDuration":24,"studyType":69,"phases":70,"briefSummary":72,"conditions":73,"keywords":75,"overallStatus":77,"whyStopped":24,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":87},{"fullName":5,"class":6},"Assiut University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"short POEM group","EXPERIMENTAL","Per-oral endoscopic myotomy (POEM) will be performed under general anesthesia. The procedure involves four main steps: (1) mucosal incision to gain entry to the submucosal space; (2) creation of a short submucosal tunnel extending down to the esophagogastric junction; (3) short endoscopic myotomy of the circular muscle layer; and (4) closure of the mucosal entry site using endoscopic clips",[13],"Procedure: per-oral endoscopic myotomy",{"label":15,"type":10,"description":16,"interventionNames":17},"long POEM group","Per-oral endoscopic myotomy (POEM) will be performed under general anesthesia. The procedure involves four main steps: (1) mucosal incision to gain entry to the submucosal space; (2) creation of a long submucosal tunnel extending down to the esophagogastric junction; (3) long endoscopic myotomy of the circular muscle layer; and (4) closure of the mucosal entry site using endoscopic clips.",[13],[19],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"PROCEDURE","per-oral endoscopic myotomy","Per-oral endoscopic myotomy (POEM) will be performed under general anesthesia. The procedure involves four main steps: (1) mucosal incision to gain entry to the submucosal space; (2) creation of a submucosal tunnel extending down to the esophagogastric junction; (3) endoscopic myotomy of the circular muscle layer, where the longitudinal length of the myotomy (short vs. long) is determined strictly by the patient's randomized group assignment; and (4) closure of the mucosal entry site using endoscopic clips.",[15,9],null,[26],{"name":27,"affiliation":28,"role":29},"Omar M Magdy, master dgree","Assiut university hospitals","PRINCIPAL_INVESTIGATOR",[31,36],{"name":32,"role":33,"phone":34,"phoneExt":24,"email":35},"omar m magdy, Master dgree","CONTACT","+201062983336","omar.megooz96@gmail.com",{"name":37,"role":33,"phone":24,"phoneExt":24,"email":35},"Magdy",[39],{"facility":40,"status":24,"city":41,"state":24,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Assiut university hosoital","Asyut","71511","Egypt","EG",{"type":46,"coordinates":47},"Point",[48,49],31.18368,27.18096,{"lat":49,"lon":48},[52],{"name":53,"role":33,"phone":54,"phoneExt":24,"email":35},"omar M magdy, Master degree","01062983336",{"type":29,"investigatorFullName":56,"investigatorTitle":57,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"Omar Mohamed Magdy Eid","assistant lecturer of internal medicine","100646813","short-versus-long-submucosal-tunneling-in-per-oral-endoscopic-myotomy-poem-for-type-ii-achalasia-100646813",false,"NCT07686471","Short Versus Long Submucosal Tunneling in Per-oral Endoscopic Myotomy (POEM) for Type II Achalasia.","Short Versus Long Submucosal Tunneling in Per-oral Endoscopic Myotomy (POEM) for Type II Achalasia: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Patients of all ages were eligible for inclusion in the study with no upper or lower age limits applied .\n* Both sexes are included .\n* Type II achalasia patients who are diagnosed by High Resolution. Manometry based on Chicago Classification (v4.0) characterized by (failed esophageal peristalsis , pan-esophageal pressurization in ≥20% of swallows and Integrated Relaxation Pressure (IRP) \\>15 mmHg ).\n* Eckardt score \\>3 ( moderate to severe symptoms\n\nExclusion Criteria:\n\n* Type I ,type III achalasia \\& Non-achalasia spastic motility disorders.\n* Sigmoid type esophagus (diameter\\> 6 cm ).\n* Esophageal diverticulae .\n* Presence of large Hiatus Hernia ( \\>5cm).\n* Severe erosive esophagitis (La Grade C or D) or Barrett's Esophagus.\n* History of previous Heller's myotomy.\n* Pseudoachalasia due to underlying malignancy.\n* Severe coagulopathy ( INR\\>1.5 or platelets \\\u003C50000 ).","ALL",{"count":67,"type":68},50,"ESTIMATED","INTERVENTIONAL",[71],"NA","this study is prospective , randomized and interventional ,will be performed on 50 patients to compare the clinical utility , safety profile and postoperative recovery metrics between short and long per-oral endoscopic myotomy , patients will be divided randomly into two equal groups one will do short myotomy and the other group will do long myotomy , each group will contain 25 patients methodology \\&patient selection : patients follow the inclusion criterias including :\n\n* Patients of all ages were eligible for inclusion in the study with no upper or lower age limits applied .\n* Both sexes are included .\n* Type II achalasia patients who are diagnosed by High Resolution. Manometry based on Chicago Classification (v4.0) characterized by (failed esophageal peristalsis , pan-esophageal pressurization in ≥20% of swallows and Integrated Relaxation Pressure (IRP) \\>15 mmHg ).\n* Eckardt score \\>3 ( moderate to severe symptoms). this study aims to compare the outcomes of short versus long esophageal myotomy in cases with type II achalasia using Eckardt score and barium study at 3 month follow up. also to evaluate difference in length of the opearation , intra-operative and post-operative adverse events between short and long submucosal tunneling.\n\nevery patient will do upper endoscopy and manometry preoperative , also ekcardt score will be caculated , follow up after 3 months by barium swallow and eckardt score",[74],"Esophageal Achalasia",[76],"achalasia type II","NOT_YET_RECRUITING","2026-06-29",{"date":80,"type":81},"2026-07-07","ACTUAL",{"date":83,"type":68},"2026-06-28",{"date":85,"type":68},"2028-12-16",{"name":5,"class":6},1]