Peroral endoscopic myotomy for treating achalasia and esophageal motility disorders

Young Hoon Youn, Hitomi Minami, Philip Wai Yan Chiu, Hyojin Park

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Peroral endoscopic myotomy (POEM) is the application of esophageal myotomy to the concept of natural orifice transluminal surgery (NOTES) by utilizing a submucosal tunneling method. Since the first case of POEM was performed for treating achalasia in Japan in 2008, this procedure is being more widely used by many skillful endosopists all over the world. Currently, POEM is a spotlighted, emerging treatment option for achalasia, and the indications for POEM are expanding to include long-standing, sigmoid shaped esophagus in achalasia, even previously failed endoscopic treatment or surgical myotomy, and other spastic esophageal motility disorders. Accumulating data about POEM demonstrate excellent short-term outcomes with minimal risk of major adverse events, and some existing long-term data show the efficacy of POEM to be long lasting. In this review article, we review the technical details and clinical outcomes of POEM, and discuss some considerations of POEM in special situations.

Original languageEnglish
Pages (from-to)14-24
Number of pages11
JournalJournal of Neurogastroenterology and Motility
Volume22
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

Fingerprint

Esophageal Motility Disorders
Esophageal Achalasia
Muscle Spasticity
Sigmoid Colon
Esophagus
Japan

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Gastroenterology

Cite this

Youn, Young Hoon ; Minami, Hitomi ; Chiu, Philip Wai Yan ; Park, Hyojin. / Peroral endoscopic myotomy for treating achalasia and esophageal motility disorders. In: Journal of Neurogastroenterology and Motility. 2016 ; Vol. 22, No. 1. pp. 14-24.
@article{5072ff7951b8493dbcf3f385c9c6b865,
title = "Peroral endoscopic myotomy for treating achalasia and esophageal motility disorders",
abstract = "Peroral endoscopic myotomy (POEM) is the application of esophageal myotomy to the concept of natural orifice transluminal surgery (NOTES) by utilizing a submucosal tunneling method. Since the first case of POEM was performed for treating achalasia in Japan in 2008, this procedure is being more widely used by many skillful endosopists all over the world. Currently, POEM is a spotlighted, emerging treatment option for achalasia, and the indications for POEM are expanding to include long-standing, sigmoid shaped esophagus in achalasia, even previously failed endoscopic treatment or surgical myotomy, and other spastic esophageal motility disorders. Accumulating data about POEM demonstrate excellent short-term outcomes with minimal risk of major adverse events, and some existing long-term data show the efficacy of POEM to be long lasting. In this review article, we review the technical details and clinical outcomes of POEM, and discuss some considerations of POEM in special situations.",
author = "Youn, {Young Hoon} and Hitomi Minami and Chiu, {Philip Wai Yan} and Hyojin Park",
year = "2016",
month = "1",
day = "1",
doi = "10.5056/jnm15191",
language = "English",
volume = "22",
pages = "14--24",
journal = "Journal of Neurogastroenterology and Motility",
issn = "2093-0879",
publisher = "Korean Society of Neurogastroenterology and Motility",
number = "1",

}

Peroral endoscopic myotomy for treating achalasia and esophageal motility disorders. / Youn, Young Hoon; Minami, Hitomi; Chiu, Philip Wai Yan; Park, Hyojin.

In: Journal of Neurogastroenterology and Motility, Vol. 22, No. 1, 01.01.2016, p. 14-24.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Peroral endoscopic myotomy for treating achalasia and esophageal motility disorders

AU - Youn, Young Hoon

AU - Minami, Hitomi

AU - Chiu, Philip Wai Yan

AU - Park, Hyojin

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Peroral endoscopic myotomy (POEM) is the application of esophageal myotomy to the concept of natural orifice transluminal surgery (NOTES) by utilizing a submucosal tunneling method. Since the first case of POEM was performed for treating achalasia in Japan in 2008, this procedure is being more widely used by many skillful endosopists all over the world. Currently, POEM is a spotlighted, emerging treatment option for achalasia, and the indications for POEM are expanding to include long-standing, sigmoid shaped esophagus in achalasia, even previously failed endoscopic treatment or surgical myotomy, and other spastic esophageal motility disorders. Accumulating data about POEM demonstrate excellent short-term outcomes with minimal risk of major adverse events, and some existing long-term data show the efficacy of POEM to be long lasting. In this review article, we review the technical details and clinical outcomes of POEM, and discuss some considerations of POEM in special situations.

AB - Peroral endoscopic myotomy (POEM) is the application of esophageal myotomy to the concept of natural orifice transluminal surgery (NOTES) by utilizing a submucosal tunneling method. Since the first case of POEM was performed for treating achalasia in Japan in 2008, this procedure is being more widely used by many skillful endosopists all over the world. Currently, POEM is a spotlighted, emerging treatment option for achalasia, and the indications for POEM are expanding to include long-standing, sigmoid shaped esophagus in achalasia, even previously failed endoscopic treatment or surgical myotomy, and other spastic esophageal motility disorders. Accumulating data about POEM demonstrate excellent short-term outcomes with minimal risk of major adverse events, and some existing long-term data show the efficacy of POEM to be long lasting. In this review article, we review the technical details and clinical outcomes of POEM, and discuss some considerations of POEM in special situations.

UR - http://www.scopus.com/inward/record.url?scp=84955068454&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84955068454&partnerID=8YFLogxK

U2 - 10.5056/jnm15191

DO - 10.5056/jnm15191

M3 - Article

AN - SCOPUS:84955068454

VL - 22

SP - 14

EP - 24

JO - Journal of Neurogastroenterology and Motility

JF - Journal of Neurogastroenterology and Motility

SN - 2093-0879

IS - 1

ER -