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Thorac Surg Clin. 2016 May;26(2):147-62. doi: 10.1016/j.thorsurg.2015.12.003. Epub 2016 Feb 10.

Per Oral Endoscopic Myotomy for Achalasia: A Detailed Description of the Technique and Review of the Literature.

Author information

1
Department of Surgery, MetroHealth Medical Center, H924 2500 MetroHealth Drive, Cleveland, OH 44109-1998, USA. Electronic address: kevin.grimes@gmail.com.
2
Digestive Disease Center, Showa University Koto-Toyosu Hospital, Toyosu 5-1-38, Koto-ku, Tokyo 135-8577, Japan.

Abstract

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.

KEYWORDS:

Achalasia; Per oral endoscopic myotomy (POEM); Technique

PMID:
27112254
DOI:
10.1016/j.thorsurg.2015.12.003
[Indexed for MEDLINE]

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