Peroral Esophageal Myotomy.
Surg Clin North Am. 2020 Dec;100(6):1183-1192
Authors: Drexel S, Kishawi S, Marks J
Abstract
Achalasia is a neurodegenerative disorder of the lower esophagus characterized by high lower esophageal pressures and aperistalsis of the esophageal body. It remains a difficult to treat disease with significant burden on patients due to difficulty swallowing leading to malnutrition. Peroral endoscopic myotomy (POEM) is a newer endoscopic treatment of achalasia. It involves dividing the muscular layer of the esophagus through a submucosal tunnel. Ten-year data show POEM is a safe and effective treatment of achalasia. However, postoperative gastroesophageal reflux disease remains an important consideration.
PMID: 33128887 [PubMed - as supplied by publisher]
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