Early clinical experience with the POEM procedure for achalasia

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Per-oral endoscopic myotomy (POEM) for esophageal achalasia.

Per-oral endoscopic myotomy (POEM) is a new minimally invasive endoscopic treatment for achalasia. Since the first modern human cases were published in 2008, around 2,000 cases have been performed worldwide. This technique requires advanced endoscopic skills and a learning curve of at least 20 cases. POEM is highly successful with over 90 % improvement in dysphagia while offering patients the a...

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Training in peroral endoscopic myotomy (POEM) for esophageal achalasia

Peroral endoscopic myotomy (POEM) has been developed in the context of natural orifice transluminal endoscopic surgery (NOTES) as a minimally invasive endoscopic treatment for symptomatic esophageal achalasia, which is a chronic progressive benign disease with severe morbidity and difficult management. Since September 2008, POEM has been successfully performed in more than 200 consecutive patie...

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Per Oral Endoscopic Myotomy (POEM) for Esophageal Achalasia | Clinical Review Criteria

NOTICE: Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc., provide these Clinical Review Criteria for internal use by their members and health care providers. The Clinical Review Criteria only apply to Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. Use of the Clinical Review Criter...

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Double-Scope Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia: The First Trial of a New Double-Scope POEM

With the accumulation of clinical trials demonstrating its efficacy and safety, peroral endoscopic myotomy (POEM) has emerged as a less invasive treatment option for esophageal achalasia compared with laparoscopic Heller myotomy. However, the difficulty in determining the exact extent of myotomy, a critical factor associated with the success and safety of the procedure, remains a limitation. Al...

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A Training Model for Introducing a Novel Surgical Procedure into Clinical Practice: Our Experience on Peroral Endoscopic Myotomy for Achalasia.

Dear Editor, Peroral endoscopic myotomy (POEM) is a treatment for achalasia which can potentially obviate the need for intraabdominal surgery, whilst at the same time, deliver the same effective treatment as the current standard of care – surgical myotomy. Although POEM has shown encouraging 1-year success rates of more than 90%,1-3 it remains a technically demanding procedure. In the absence o...

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ژورنال

عنوان ژورنال: Canadian Journal of Surgery

سال: 2015

ISSN: 0008-428X

DOI: 10.1503/cjs.017214