Per-oral Endoscopic Myotomy: State of the Art. Issue 1 (14th January 2022)

• Record Type: Journal Article
• Authors: Liu-Burdowski, Jennifer; Duarte-Chavez, Rodrigo; Kahaleh, Michel
• Is Part Of: Journal of clinical gastroenterology. Volume 56:Issue 1(2022)
• Page Start: 16
• Page End: 22
• Publication Date: 2022-01-14
• Subjects: achalasia -- jackhammer esophagus -- diffuse esophageal spasm -- Chagas disease -- per-oral endoscopic myotomy; Gastroenterology -- Periodicals; Digestive organs -- Diseases -- Periodicals; Gastroenterology -- Periodicals; Digestive organs -- Diseases; Gastroenterology; Periodicals; Periodicals; 616.33005
• DOI: 10.1097/MCG.0000000000001620
• Languages: English
• ISSNs: 0192-0790

Abstract

Abstract : For more than a decade, per-oral endoscopic myotomy (POEM) has been performed for the treatment of achalasia and other dysmotilities of the esophagus. POEM has become an accepted alternative to Heller myotomy, a salvation technique for patients not responding to Heller myotomy and the favorite intervention for diffuse esophageal spasm and jackhammer esophagus. POEM paved the way for endoscopic pyloromyotomy, Zenker's diverticulum myotomy, and submucosal tunneling with endoscopic resection. This review will cover the technique and the most current literature of this revolutionary third space technique.