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Minerva Chirurgica 2018 April;73(2):194-203

DOI: 10.23736/S0026-4733.18.07619-8

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

The argument for peroral endoscopic myotomy in treatment of achalasia

Steven P. BOWERS 1 , Timothy WOODWARD 2

1 Department of Surgery, Mayo Clinic Florida, Jacksonville, FL, USA; 2 Division of Gastroenterology, Mayo Clinic Florida, Jacksonville, FL, USA


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Although there has been debate regarding the optimal procedure to palliate dysphagia in patients with achalasia, emerging reports of longer term follow-up of patients after peroral endoscopic myotomy (POEM) suggest that the POEM procedure is efficacious in relief of dysphagia, and that there is infrequent need for subsequent procedures for treatment of failure or reflux. The number of centers in the United States of America performing POEM for esophageal achalasia continues to increase. This report assess the current knowledge of technical issues of POEM, outcomes after POEM and the status of POEM centers in the U.S.A., and presents the argument for surgeons to participate in the practice of POEM.


KEY WORDS: Esophageal achalasia - Pyloromyotomy - Myotomy - Patient outcome assessment

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Publication History

Issue published online: April 5, 2018
Article first published online: January 23, 2018
Manuscript accepted: January 22, 2018
Manuscript received: January 4, 2018

Per citare questo articolo

Bowers SP, Woodward T. The argument for peroral endoscopic myotomy in treatment of achalasia. Minerva Chir 2018;73:194-203. DOI: 10.23736/S0026-4733.18.07619-8

Corresponding author e-mail

Bowers.steven@mayo.edu