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POEM for special patient cohorts: A review
Author(s) -
Mu Dan,
Li Yue Yue,
Zhang Ming Ming,
Zhang Yan,
Li Zhen,
Li Yan Qing
Publication year - 2017
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/1751-2980.12473
Subject(s) - achalasia , medicine , myotomy , gastroparesis , esophageal motility disorder , surgery , esophagus , diverticulum (mollusc) , general surgery , gastroenterology , gastric emptying , stomach
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 H eller myotomy, pneumatic balloon dilatation or POEM , sigmoid achalasia, pediatric patients, spastic esophagus disorders, Z enker’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 .