Post written by Baha Fawwaz, MD, from Gastroenterology and Hepatology, AdventHealth, Orlando, Florida, USA. Opioids have become one of the most widely prescribed medications in the United States. Chronic opioid use has been associated with esophageal dysmotility. The focus of our study was to evaluate and compare the clinical outcomes of peroral endoscopic myotomy (POEM) for …
Tag: POEM
Comparing clinical success and procedural difficulty between treatment-naïve and treatment-refractory patients with esophageal motility disorders during peroral endoscopic myotomy
Post written by Raymond E. Kim, MD, from the University of Maryland School of Medicine, Baltimore, MD, USA. The primary focus of our study was to compare the difficulty and success rate of peroral endoscopic myotomy (POEM) in treatment-naïve cases versus treatment-refractory patients with esophageal motility disorders. There is a prevailing belief that treatment-refractory cases, which …
POEM: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment
Post written by Stavros N. Stavropoulos, MD, from the Division of Gastroenterology, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, New York, USA. Our study aimed to provide a comprehensive, in-depth analysis of long-term POEM outcomes from the largest prospective database of POEM procedures in the U.S. (currently at ~800 POEMs, with the longest and most complete …
Safety and efficacy of peroral endoscopic myotomy with standard myotomy versus short myotomy for treatment-naïve patients with type II achalasia
Post written by Deliang Liu, MD, PhD, from the Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, China. The study focus on comparing the outcomes between standard myotomy versus short myotomy for the management of treatment-naïve patients with type II achalasia. Numerous studies demonstrated that POEM was a safe and effective …
Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy
Post written by Enrique Rodríguez de Santiago, MD, MSc, from the Digestive Diseases Center, Showa University, Koto-Toyosu Hospital, Koto-Ku, Tokyo, Japan, and the Department of Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Madrid, Spain. In this study, we aimed to investigate the safety of peroral endoscopic myotomy (POEM) in patients …
Clinical impact of routine esophagram after peroral endoscopic myotomy
Post written by Chanakyaram A. Reddy, MD, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. The focus of the study was to provide clarification for the role in obtaining routine postoperative day (POD) 1 esophagram following peroral endoscopic myotomy (POEM). POEM is a technique that has rapidly evolved over the last …
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Peroral endoscopic myotomy with diverticulum resection
Post written by Yohei Nishikawa, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University, Tokyo, Japan. For esophageal diverticulum with symptoms, thoracoscopic or laparoscopic surgery is usually performed. We reported a case of an endoscopic esophageal diverticulum resection by applying the peroral endoscopic myotomy (POEM) and POEM + Fundoplication (POEM-F) techniques, …
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Evaluation of sling fibers and two penetrating vessels for guiding extent of the tunnel and myotomy during posterior peroral endoscopic myotomy
Post written by Hugo Uchima, MD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, and the Endoscopic Unit, Teknon Medical Center, Barcelona, Spain. In this video, we describe the technical and anatomic endoscopic references to preserve the innermost gastric oblique fibers (sling fibers) during posterior POEM, based on the location …
Peroral endoscopic myotomy for achalasia: a prospective multicenter study in Japan
Post written by Hironari Shiwaku, MD, PhD, from the Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. Peroral endoscopic myotomy (POEM) is a standard treatment for achalasia. The reported efficacy of POEM in the prospective multicenter study by Dr Von Renteln's group was 82%. However, a retrospective multicenter study in Japan reported …
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Peroral endoscopic myectomy: a novel thought to reduce recurrence after previous failed myotomy
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. This video case describes a novel technique of peroral endoscopic myotomy (POEM) in a patient with recurrence of symptoms after Heller’s myotomy. In this case, we performed POEM by posterior route ie, 5 o’clock. After completing myotomy, we performed a …
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