POEM

POEM

ASGE Journal Scan | Esophagus

Manual Review of pH Tracings Helpful in Defining GERD After POEM

The prevalence of GERD after peroral endoscopic myotomy (POEM) ranges from 13% to 58%. This variation is due to a lack of precise definitions and

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ASGE Journal Scan | Esophagus

Preservation of Oblique Sling Fibers During POEM Does Not Reduce Postprocedure GERD

Peroral endoscopic myotomy (POEM) is a standard treatment option for patients with achalasia but is associated with a high incidence of postprocedure gastroesophageal reflux disease

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ASGE Journal Scan | Esophagus

Modified POEM Technique Can Be Effective for Postfundoplication Dysphagia

Laparoscopic fundoplication (LF) as a treatment option for GERD involves 3 techniques based on the wrap extension: Nissen (total, 360°), Toupet (posterior, 270°), and Dor

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ASGE Journal Scan | Esophagus

Short POEM as Good as Long POEM for Achalasia Treatment

For the treatment of patients with achalasia, peroral endoscopic myotomy (POEM) has shown comparable effectiveness to surgery. During POEM, the typical length of the myotomy

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ASGE Journal Scan | Esophagus

Pneumatic Dilation Associated With Higher Complication and Readmission Rates in Patients With Achalasia

Data directly comparing treatment options for achalasia are limited, namely peroral endoscopic myotomy (POEM), laparoscopic Heller myotomy (LHM), and endoscopic pneumatic dilation (PD). The current

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ASGE Journal Scan | Esophagus

Endoscopic Therapy Can Successfully Treat Post-POEM GERD

Peroral endoscopic myotomy (POEM) is increasingly being used as mainline therapy for patients with achalasia. After POEM, approximately 30% to 50% of patients experience abnormal

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ASGE Journal Scan | Esophagus

POEM Better Than Pneumatic Dilation in Treating Achalasia Symptoms After Surgical Myotomy

Research into peroral endoscopic myotomy (POEM) as a rescue therapy for patients with persistent or recurrent symptoms after laparoscopic Heller myotomy (LHM) is increasing. Although

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ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy Is Also Effective in Patients With Prior Achalasia Treatment

Some studies suggest that prior treatment may increase the difficulty and success of tunneling during a peroral endoscopic myotomy (POEM) procedure, but recent studies have

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ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy Is Effective in Chronic Opioid Use-related Esophageal Motility Disorders

Chronic opioid use can lead to a variety of esophageal disorders, including type III achalasia, esophagogastric outflow obstruction (EGJOO), diffuse esophageal spasm (DES), and hypercontractile

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ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy for Achalasia Is Effective up to 4 Years

Recent guidelines have recommended peroral endoscopic myotomy (POEM) as first-line therapy for all subtypes of achalasia, given that POEM and laparoscopic Heller myotomy have comparable

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ASGE Journal Scan | Esophagus

The Functional Lumen Imaging Probe Can Be Used to Assess Response to Peroral Endoscopic Myotomy

Clinical response after peroral endoscopic myotomy (POEM) is subjectively assessed using the Eckardt score (ES) or objectively tested using high-resolution manometry (HRM) or barium esophagram.

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ASGE Journal Scan | Esophagus

Single Dose of Intravenous Antibiotics Before Peroral Endoscopic Myotomy Is Sufficient for Infection Prevention

Peroral endoscopic myotomy (POEM) is an endoscopic procedure that exposes the contents of the esophagus to the sterile mediastinum during the myotomy. This allows microbial

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ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy Is Effective and Safe for Spastic Esophageal Motility Disorders

Spastic esophageal motility disorders (SEMDs) include a group of esophageal dysmotility conditions that are difficult to treat and often refractory to nonsurgical and/or endoscopic measures.

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ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy Is Safe and Effective: A 10-Year Follow-Up of Patients

Peroral endoscopic myotomy (POEM), an endoscopic modality for managing major esophageal motility disorders, has gained popularity in the last decade. Multiple controlled studies and systematic

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ASGE Journal Scan | Esophagus

Adverse Events Are Uncommon After Peroral Endoscopic Myotomy, Score Predicts Those at Risk

Peroral endoscopic myotomy (POEM) is a widely accepted, effective endoscopic procedure for the management of achalasia. Although POEM is considered a relatively safe procedure, studies

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Live Demos | EndoClubNord | POEM

Achalasie – POEM

achalasia – POEM achalasia type I 1x BoTox, 1x balloon dilation

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ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy Can Be Safe and Effective for Persistent Symptoms After Heller Myotomy

Persistent and recurrent symptoms have been reported in up to 20% of patients with achalasia after surgical treatment with Heller myotomy. The aim of this

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ASGE Journal Scan | Esophagus

POEM Versus Surgery for Achalasia Treatment: Which One To Select?

Prateek Sharma, MD, FASGE reviewing Werner YB, et al. N Engl J Med 2019 Dec 5. Both peroral endoscopic myotomy (POEM) and surgical laparoscopic Heller’s

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Literature | Upper GI tract

Achalasia — place of endoscopic therapy in the light of the first long-term data for POEM

Achalasia is a rare neuromuscular disease of unclear etiology that probably has a genetic background. The precise etiopathogenesis of achalasia is still unclear. Above all,

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