A Narrative Review of update in per oral endoscopic myotomy (POEM) and endoscopic esophageal surgery.

ABSTRACT: The field of endoscopic esophageal surgery is based on the concept of natural orifice transluminal endoscopic surgery (NOTES). Submucosal space surgery or third space surgery with the use of flexible endoscopy allows for decreased morbidity and hospital length of stay with equivalent outcomes for patients. In the case of achalasia, per oral endoscopic myotomy (POEM) allows for management of refractory cases in setting of previous Heller Myotomy or in patients whom laparoscopic or thoracoscopic surgery is contraindicated. Lastly, POEM more directly divides circular muscular layer of esophagus without destroying surrounding structures that exist to prevent reflux. The innovations in endoscopic surgery began in the animal lab with experiments in the porcine model to develop a way to access th

SUBMITTER: Delliturri A 

PROVIDER: S-EPMC8184417 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature