The argument for peroral endoscopic myotomy in treatment of Achalasia

Steven P. Bowers; Timothy Woodward

doi:10.23736/S0026-4733.18.07619-8

The argument for peroral endoscopic myotomy in treatment of Achalasia

Steven P. Bowers, Timothy Woodward

Gastroenterology and Hepatology

Research output: Contribution to journal › Review article › peer-review

Abstract

Although there has been debate regarding the optimal procedure to palliate dysphagia in patients with Achalasia, emerging reports of longer term follow-up of patients after peroral endoscopic myotomy (POEM) suggest that the POEM procedure is efficacious in relief of dysphagia, and that there is infrequent need for subsequent procedures for treatment of failure or reflux. The number of centers in the United States of America performing POEM for esophageal Achalasia continues to increase. This report assess the current knowledge of technical issues of POEM, outcomes after POEM and the status of POEM centers in the U.S.A., and presents the argument for surgeons to participate in the practice of POEM.

Original language	English (US)
Pages (from-to)	194-203
Number of pages	10
Journal	Minerva Chirurgica
Volume	73
Issue number	2
DOIs	https://doi.org/10.23736/S0026-4733.18.07619-8
State	Published - Apr 2018

Keywords

Esophageal Achalasia
Myotomy
Patient outcome assessment.
Pyloromyotomy

ASJC Scopus subject areas

Surgery

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10.23736/S0026-4733.18.07619-8

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title = "The argument for peroral endoscopic myotomy in treatment of Achalasia",

abstract = "Although there has been debate regarding the optimal procedure to palliate dysphagia in patients with Achalasia, emerging reports of longer term follow-up of patients after peroral endoscopic myotomy (POEM) suggest that the POEM procedure is efficacious in relief of dysphagia, and that there is infrequent need for subsequent procedures for treatment of failure or reflux. The number of centers in the United States of America performing POEM for esophageal Achalasia continues to increase. This report assess the current knowledge of technical issues of POEM, outcomes after POEM and the status of POEM centers in the U.S.A., and presents the argument for surgeons to participate in the practice of POEM.",

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AB - Although there has been debate regarding the optimal procedure to palliate dysphagia in patients with Achalasia, emerging reports of longer term follow-up of patients after peroral endoscopic myotomy (POEM) suggest that the POEM procedure is efficacious in relief of dysphagia, and that there is infrequent need for subsequent procedures for treatment of failure or reflux. The number of centers in the United States of America performing POEM for esophageal Achalasia continues to increase. This report assess the current knowledge of technical issues of POEM, outcomes after POEM and the status of POEM centers in the U.S.A., and presents the argument for surgeons to participate in the practice of POEM.

KW - Esophageal Achalasia

KW - Myotomy

KW - Patient outcome assessment.

KW - Pyloromyotomy

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The argument for peroral endoscopic myotomy in treatment of Achalasia

Abstract

Keywords

ASJC Scopus subject areas

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