Endoscopic myotomy for achalasia

Adv Surg. 2014:48:27-41. doi: 10.1016/j.yasu.2014.05.015.


POEM is an effective treatment of functional manometric esophageal outflow obstructive disorders with excellent relief of dysphagia. Reflux rates seem to be similar to that seen with traditional Heller myotomy with fundoplication. The POEM technique provides a true surgical esophageal myotomy without incisional pain. As such, POEM represents the first truly practical application of natural orifice surgery.

Publication types

  • Review

MeSH terms

  • Aphasia / etiology
  • Aphasia / surgery
  • Endoscopy / adverse effects
  • Endoscopy / methods*
  • Esophageal Achalasia / complications
  • Esophageal Achalasia / surgery*
  • Gastroesophageal Reflux / etiology
  • Humans
  • Muscle, Smooth / surgery*
  • Treatment Outcome