title: The State of The Art in Per-Oral Endoscopic Myotomy.
abstract: Per-oral endoscopic myotomy has emerged as the preferred option for treatment of achalasia. This entirely endoscopic procedure has clinical efficacy and lower esophageal sphincter disruption comparable to laparoscopic Heller myotomy with lesser postprocedure pain and length of stay. This review describes per-oral endoscopic myotomy technique, evolution, patient selection, comparison to other therapies, training, and future considerations, including extrapolation of tunnel endoscopy to other situations.
authors: Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, New York. Electronic address: sstavropoulos@winthrop.org.
authors: Stavros N
authors: SN
authors: Stavropoulos
authors: Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, New York.
authors: Rani
authors: R
authors: Modayil
authors: Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, New York.
authors: David
authors: D
authors: Friedel
mesh_terms: D004931:Esophageal Achalasia / Q000601:surgery*; D049630:Esophageal Sphincter, Lower / Q000601:surgery*; D004945:Esophagoscopy; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery
keywords: NOTES; POEM; achalasia; endoscopic myotomy; esophageal myotomy