Abstract
Peroral endoscopic myotomy (POEM) has recently been described as a scar-free and less-invasive surgical myotomy option for treating achalasia. 1 Inoue H. Minami H. Kobayashi Y. et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy. 2010; 42: 265-271 Crossref PubMed Scopus (1164) Google Scholar , 2 Zhou P.H. Yao L.Q. Zhang Y.Q. et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia: 205 cases report. Gastrointest Endosc. 2012; 75: AB132-AB133 Abstract Full Text Full Text PDF Google Scholar , 3 von Renteln D. Inoue H. Minami H. et al. Peroral endoscopic myotomy for the treatment of achalasia: a prospective single center study. Am J Gastroenterol. 2012; 107: 411-417 Crossref PubMed Scopus (287) Google Scholar , 4 Swanstrom L.L. Kurian A. Dunst C.M. et al. Long-term outcomes of an endoscopic myotomy for achalasia: the POEM procedure. Ann Surg. 2012; 256: 659-667 Crossref PubMed Scopus (242) Google Scholar , 5 Zhou P.H. Li Q.L. Yao L.Q. et al. Peroral endoscopic remyotomy for failed Heller myotomy: a prospective single-center study. Endoscopy. 2013; 45: 161-166 Crossref PubMed Scopus (134) Google Scholar This procedure incorporates concepts of natural orifice transluminal endoscopic surgery and achieves endoscopic myotomy by using a submucosal tunnel as the operating space. Initial published experience in humans is more than encouraging despite a relatively short follow-up.
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