Per oral endoscopic myotomy for the treatment of XXXX .

@entity1 @entity1318 @entity56049 @entity1208 @entity354 @entity1282
Per oral endoscopic myotomy (POEM) represents the culmination of natural orifice transluminal endoscopic surgery (NOTES) research, and its most successful application to date. Over a thousand POEMs have been performed globally with remarkable results in terms of clinical efficacy and safety. PURPOSE OF REVIEW: We examine the most recent literature concerning POEM since the last two comprehensive analyses [Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) White Paper, ASGE Preservation and Incorporation of Valuable endoscopic Innovations (PIVI)], and integrate this literature in the consensus POEM guidelines and perspective. These current works are largely centered on POEM operator learning curve, comparison of POEM and laparoscopic Heller myotomy (LHM) and extended application of POEM. RECENT FINDINGS: POEM and LHM are comparable in terms of efficacy (diminished @entity1282 and Eckardt score) and complications including @entity354 . POEM has been successfully performed in a wide variety of @entity1 including @entity1 , those with prior @entity1318 therapy and those with @entity1208 . SUMMARY: POEM has been validated as a treatment for @entity1318 . Issues remain regarding its longer term efficacy in comparison with LHM. Subsequent comparison trials are needed. VIDEO ABSTRACT: http://links.lww.com/COG/ @entity56049 .
