Jeffrey L Ponsky1, Jeffrey M Marks, Eric M Pauli. 1. Department of Surgery, CWRU School of Medicine, University Hospitals, Case Medical Center, Cleveland, OH, USA. jponsky@yahoo.com
Abstract
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.
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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