POEM for special patient cohorts: A review.

Abstract

Peroral endoscopic myotomy (POEM) is a natural orifice, translumenal endoscopic surgical procedure that achieves endoscopic myotomy by conducting a submucosal tunnel as an operating space. It is conventionally performed in achalasia. Recently, several centers worldwide have reported the feasibility of this procedure not only in early achalasia but also in other particular patient cohorts. Possible indications for POEM include previously failed Heller myotomy, pneumatic balloon dilatation or POEM, sigmoid achalasia, pediatric patients, spastic esophagus disorders, Zenker's diverticulum and gastroparesis. However, its application in large numbers of special patient groups awaits knowledge of the long-term outcome and greater experience with POEM.

• Authors: Dan Mu, Yue Yue Li, Ming Ming Zhang, Yan Zhang, Zhen Li, Yan Qing Li
• Journal: Journal of digestive diseases (J Dig Dis) Vol. 18 Issue 5 Pg. 265-272 (May 2017) ISSN: 1751-2980 [Electronic] Australia
• PMID: 28374443 (Publication Type: Journal Article, Review)
• Copyright: © 2017 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

Topics

• Esophageal Achalasia (surgery)
• Esophageal Diseases (surgery)
• Esophagoscopy (methods)
• Gastroparesis (surgery)
• Humans
• Myotomy (methods)
• Natural Orifice Endoscopic Surgery (methods)