POEM endoscopic treatment of achalasia: a live case in point
Epublication WebSurg.com, Jul 2014;14(07). URL: http://websurg.com/doi/vd01en4252
POEM (PerOral Endoscopic Myotomy) is an emerging technique for the treatment of esophageal achalasia. Introduced in 2011 by Doctor Inoue, this technique consists in a selective myotomy of the inner circular muscular layer of the esophageal wall. Access to the muscular wall is achieved by an incision of the esophageal mucosa and by a submucosal tunneling, the closure of which must be performed at the end of the procedure, in order to ensure patency. Three years later, this intervention proves to offer clinical results comparable to conventional surgical techniques.