title: A Western Perspective on "New NOTES" from POEM to Full-thickness Resection and Beyond.
abstract: Most new natural orifice translumenal endoscopic surgery procedures originated in Asia; therefore, most data come from operators and a health care environment different from those in the West. We provide a Western perspective. We discuss East-West differences; review areas in which the United States is leading the way; and discuss the vagaries of coding and reimbursement. In the United States, reimbursement remains problematic. A Current Procedural Terminology code for peroral endoscopic myotomy is inevitable given the rapidly accumulating overwhelmingly positive outcomes data. However, coordinated efforts may help accelerate the process.
authors.affiliation: Winthrop University Hospital, 222 Station Plaza North Suite 429, Mineola, NY 11501, USA.
authors.forename: Rani
authors.initials: R
authors.lastname: Modayil
authors.affiliation: Columbia University, 161 Fort Washington Ave., New York, NY 10032, USA; Temple University, 3401 N Broad St., Philadelphia, PA 19140, USA; Program in Advanced GI Endoscopy (P.A.G.E.), Winthrop University Hospital, 222 Station Plaza North Suite 429, Mineola, NY 11501, USA. Electronic address: sns10md@gmail.com.
authors.forename: Stavros N
authors.initials: SN
authors.lastname: Stavropoulos
mesh_terms: D001208:Asia; D003695:Delivery of Health Care / Q000191:economics / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000191:economics* / Q000379:methods; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000191:economics* / Q000379:methods; D012051:Reimbursement Mechanisms / Q000639:trends; D014481:United States
keywords: Endoscopic full-thickness resection (EFTR); GERD; New NOTES; Peroral endoscopic myotomy (POEM); Peroral pyloromyotomy (POP); Reflux esophagitis; Reimbursement; Submucosal tunnel endoscopic resection (STER)