Per-oral Endoscopic Myotomy (POEM) for Achalasia
Jun-Hyung Cho, M.D.; Joo Young Cho, MD, Jun-Hyung Cho, MD, Joo Young Cho, MD,
Tae Hee Lee, MD, Su Jin Hong, MD, and Won Kyung Cho, MD Soonchunhyang University Hospital
Achalasia is a rare esophageal motility disorder of unknown cause. Recently, POEM has been developed as an incisionless endoscopic myotomy for treatment of achalasia patients. Using submucosal tunnel technique, esophageal circular muscle and lower esophageal sphincter are dissected. As a pure NOTES, it has shown comparable treatment outcome and accepted as less invasive surgery rather than laparoscopic Heller’s myotomy. This program includes examinations and preparation before POEM, procedural techniques, post-procedure care. In
the chapter of POEM procedure, endoscopic technique is demonstrated with detailed video clips. POEM procedure consists of five cardinal steps including creation of mucosal entry, creation of submucosal tunnel, identification of the esophagogastric junction, endoscopic myotomy and closure of mucosal entry. Also, this program focuses on delivering a comprehensive, evidence-based review of advantages of POEM, international POEM survey data and learning curve. In final chapter, an actual case will give the practical information to beginner as well as advanced endoscopists.
Upon completion of this educational activity, participants will be able to:
- Diagnose and evaluate achalasia patients.
- Describe POEM procedure.
- Perform POEM procedure more effectively and safely in clinical practice.
Target audience: Practicing gastroenterologists, gastroenterology fellows and trainees,medical residents, physician assistants, and nurses.
[2014 - TRT 24:00] 0.50 AMA PRA Category 1 CreditsTM