Is Peroral Endoscopic Myotomy a Potential Therapy for Esophageal Absent Contractility?

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Salvage peroral endoscopic myotomy for esophageal diverticulum.

Esophageal diverticulum often causes secondary dysmotility. If a diverticulum associated with a functional disorder is growing and exacerbating symptoms, surgical treatment is usually indicated [1,2]. Peroral endoscopic myotomy (POEM) was introduced by Inoue et al. in 2010 as a novel treatment technique for achalasia [3]. Here, we report our clinical experience of salvage POEM for esophageal di...

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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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Peroral endoscopic myotomy (POEM) for diffuse esophageal spasm.

esophageal spasm Diffuse esophageal spasm (DES) is a rare esophageal dysmotility condition characterized by simultaneous contractions of the distal esophagus and manifested by dysphagia and chest pain. Pharmacological therapy, endoscopic interventions, and surgical myotomy have been linked to various outcomes [1,2]. Recently, peroral endoscopic myotomy (POEM) has been introduced as an effective...

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Peroral Endoscopic Myotomy for Treating Achalasia and Esophageal Motility Disorders.

Peroral endoscopic myotomy (POEM) is the application of esophageal myotomy to the concept of natural orifice transluminal surgery (NOTES) by utilizing a submucosal tunneling method. Since the first case of POEM was performed for treating achalasia in Japan in 2008, this procedure is being more widely used by many skillful endosopists all over the world. Currently, POEM is a spotlighted, emergin...

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Gastroparesis (GP) is a syndrome characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach or proximal small bowel. Currently available dietary and medical therapies are limited and have suboptimal efficacy. Pylorus-directed therapies have showed promising results. Gastric peroral endoscopic myotomy (G-POEM) has been reported for the treatment of GP refra...

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ژورنال

عنوان ژورنال: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

سال: 2020

ISSN: 1530-4515

DOI: 10.1097/sle.0000000000000770