The State of The Art in Per-Oral Endoscopic Myotomy.

Stavros N Stavropoulos, Rani Modayil, David Friedel

Journal: Seminars in thoracic and cardiovascular surgery 2017;28(1):137-46

PMID: 27568151

Full Text on Elsevier Science View on PubMed

Abstract

Per-oral endoscopic myotomy has emerged as the preferred option for treatment of achalasia. This entirely endoscopic procedure has clinical efficacy and lower esophageal sphincter disruption comparable to laparoscopic Heller myotomy with lesser postprocedure pain and length of stay. This review describes per-oral endoscopic myotomy technique, evolution, patient selection, comparison to other therapies, training, and future considerations, including extrapolation of tunnel endoscopy to other situations.

Address: Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, New York. Electronic address: [email protected].; Department of Gastroenterology, Hepatology and Nutrition, Winthrop University Hospital, Mineola, New York.

DOI: 10.1053/j.semtcvs.2015.12.008

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MeSH Terms: Esophageal Achalasia, Esophageal Sphincter, Lower, Esophagoscopy, Humans, Natural Orifice Endoscopic Surgery