How i do it: per-oral endoscopic myotomy (POEM)

Jeffrey L Ponsky, Jeffrey M Marks, Eric M Pauli
Journal of Gastrointestinal Surgery 2012, 16 (6): 1251-5

INTRODUCTION: Laparoscopic Heller myotomy has become the therapy of choice for achalasia. In the last three years, clinical experience with a novel approach to this disease, Per-Oral Endoscopic Myotomy (POEM), has grown.

METHODS: Herein, we describe the technical steps in the POEM procedure.

CONCLUSION: In our experience, the method appears to be a safe alternative to standard laparoscopic Heller myotomy, but further assessment is needed to understand long-term outcomes.

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