Per Oral Endoscopic Myotomy for Achalasia: A Detailed Description of the Technique and Review of the Literature.
Historically, the most robust outcomes in treatment of achalasia were seen with surgical myotomy. Per oral endoscopic myotomy (POEM) introduced an endoscopic method for creating a surgical myotomy. Thousands of cases of POEM have been performed; however, there is no standard technique, and the rates of clinical success and adverse events vary widely among centers. This article presents a detailed description of the POEM technique, including the rationale and potential pitfalls of the main variations, in the context of the international literature.
Department of Surgery, MetroHealth Medical Center, H924 2500 MetroHealth Drive, Cleveland, OH 44109-1998, USA. Electronic address: kevin.grimes@gmail.com.
Kevin L
KL
Grimes
Digestive Disease Center, Showa University Koto-Toyosu Hospital, Toyosu 5-1-38, Koto-ku, Tokyo 135-8577, Japan.
Haruhiro
H
Inoue
D004931:Esophageal Achalasia / Q000601:surgery*; D049630:Esophageal Sphincter, Lower / Q000601:surgery*; D004945:Esophagoscopy; D006801:Humans; D009055:Mouth; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*
Achalasia; Per oral endoscopic myotomy (POEM); Technique