POEM, the Prototypical “New NOTES” Procedure and First Successful NOTES Procedure - 31/03/16
, Haruhiro Inoue, MD, PhD aRésumé |
Peroral endoscopic myotomy (POEM) was first performed in 2008 as a novel treatment of achalasia. It is now performed globally, demonstrating the evolution of the first successful natural orifice transluminal endoscopic surgery (NOTES) procedure. There is extensive data demonstrating the safety and efficacy of POEM, and now long-term data has emerged demonstrating that the efficacy is durable. POEM is also being used to successfully treat diffuse esophageal spasm (DES) and jackhammer esophagus. With jackhammer esophagus and DES, inclusion of the lower esophageal sphincter in the myotomy minimizes the risk of symptom development from iatrogenic ineffective esophageal motility.
Le texte complet de cet article est disponible en PDF.Keywords : Peroral endoscopic myotomy (POEM), Natural orifice transluminal endoscopic surgery (NOTES), Achalasia, Diffuse esophageal spasm, Jackhammer esophagus, Hypercontractile esophagus
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| Disclosure Statement: The authors have nothing to disclose. |
Vol 26 - N° 2
P. 237-255 - avril 2016 Retour au numéro
Article précédent
- The Evolution of “New Notes,” Origins, and Future Directions
- Saurabh S. Mukewar, Christopher J. Gostout
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- Carter Lebares, Lee L. Swanstrom
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