Follow-Up and Surveillance
Fig. 12.1 Eckardt score However, patients’ symptoms following POEM may not necessarily be a reliable indicator of functional improvement after treatment as symptom resolution can occur without a significant improvement…
Future Applications of Submucosal Surgery: NOTES, Full-Thickness Resections and Beyond
Fig. 16.1 Endoscopic interventions with submucosal navigation. (1) NOTES natural orifice transluminal surgery (SEMF valve approach). (2) Endoscopic myotomies—POEM peroral endoscopic myotomy, POP peroral pyloroplasty. (3) Endoscopic tumor resection—STER submucosal…
Training, Credentialing, and Developing a Clinical Program for POEM
Fig. 14.1 GERD-HRQL. Scale: 0 = no symptoms. 1 = dymptoms noticeable, but not bothersome. 2 = symptoms noticeable and bothersome, but not every day. 3 = symptoms bothersome every day. 4 = symptoms affect daily activities. 5 = symptoms are incapacitating,…
Indications and Preoperative Workup for Peroral Endoscopic Myotomy
Score Dysphagia Regurgitation Retrosternal pain Weight loss (kg) 0 None None None None 1 Occasional Occasional Occasional <5 2 Daily Daily Daily 5–10 3 Each meal Each meal Each meal…
Endoscopic Myotomy for Non-achalasia Esophageal Disorders
IRP % Normal peristalsis % Premature contractions (spasm) with normal DCI DCI (mmHg)(s)(cm) Type I/II achalasia High 0% 0% <100 Type III (spastic achalasia) High 0% 20% >450 DES…
POEM for Chagas Disease-Induced Achalasia
Fig. 10.1 Global distribution of cases of Chagas disease, based on official estimates, 2006–2010. Image ©World Health Organization, 2010 Transmission of the parasitic protozoa occurs mostly via hematophagous insects of…
Management of Gastric Reflux Following Per-Oral Endoscopic Myotomy
Author Year of publication Location Number of cases reported Time point after POEM in months Percentage of patients with symptoms assessed Percentage of those assessed with GERD symptom Definition of…
POEM: Concept to Research Laboratory
© Springer International Publishing AG 2017Kevin M. Reavis (ed.)Per Oral Endoscopic Myotomy (POEM)10.1007/978-3-319-50051-5_2 2. POEM: Concept to Research Laboratory Nitin K. Ahuja1 and Pankaj J. Pasricha2 (1) Johns Hopkins University School of Medicine, 600 N. Wolfe St., Blalock 412,…
Introduction: Endoscopic Submucosal Dissection to Per Oral Endoscopic Myotomy (POEM)
© Springer International Publishing AG 2017Kevin M. Reavis (ed.)Per Oral Endoscopic Myotomy (POEM)10.1007/978-3-319-50051-5_1 1. Introduction: Endoscopic Submucosal Dissection to Per Oral Endoscopic Myotomy (POEM) Kevin L. Grimes1 and Haruhiro Inoue2 (1) Department of Surgery, MetroHealth Medical Center,…
Comparative Outcomes: POEM Versus Balloons, Botox, and Surgical Myotomy
© Springer International Publishing AG 2017Kevin M. Reavis (ed.)Per Oral Endoscopic Myotomy (POEM)10.1007/978-3-319-50051-5_9 9. Comparative Outcomes: POEM Versus Balloons, Botox, and Surgical Myotomy Steven R. DeMeester1 (1) Foregut and Thoracic Surgery, Division of Gastrointestinal and Minimally…
