4.2 Article

Peroral Endoscopic Myotomy for Esophageal Achalasia: Technique, Indication, and Outcomes

Journal

THORACIC SURGERY CLINICS
Volume 21, Issue 4, Pages 519-+

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.thorsurg.2011.08.005

Keywords

Peroral endoscopic myotomy; Esophageal achalasia; Natural orifice transluminal endoscopic surgery; POEM

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Peroral endoscopic myotomy (POEM) has been developed as an incisionless, minimally invasive endoscopic treatment intending a permanent cure for esophageal. achalasia. The concept of endoscopic myotomy was first reported about 3 decades ago, but the direct incision method through the mucosal layer was not considered to be a safe and reliable approach. A novel method of endoscopic myotomy was developed and established by the authors. In this article, the current techniques, applications, and clinical results of POEM are described.

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