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…
Learning Curve and Initial Outcomes
© Springer International Publishing AG 2017Kevin M. Reavis (ed.)Per Oral Endoscopic Myotomy (POEM)10.1007/978-3-319-50051-5_8 8. Learning Curve and Initial Outcomes Joel M. Sternbach1 and Eric S. Hungness2 (1) Department of Surgery, Northwestern University, Northwestern Memorial Hospital, 251 E. Huron…
Bile Acids and Gallstones: Epidemiology, Pathogenesis, Diagnosis, and Management
Gallbladder stones CBD stones Cholesterol stone (%) 58.3 31.1 Bilirubin stone Black pigment stone (%) 23.7 11.8 Brown pigment stone (%) 15.9 54.3 Others (%) 2.1 2.8 6.3 Cholesterol…
Bile Acid as Therapeutic Agents
Fig. 5.1 Molecular diagram of chenodeoxycholic acid (CDCA), ursodeoxycholic acid (UDCA), nor-ursodeoxycholic acid (NorUDCA), obeticholic acid (OCA), INT-777, cholestyramine, colestipol, colesevelam-HCl, colestimide, and ezetimibe Approximately 90–95% of bile acids (except…
