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Transesophageal Tunneling Technique and Peroral Endoscopic Myotomy (POEM)

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Abstract

The submucosal space was found to be an excellent area for endoscopic manipulations. This space can be used to travel with a flexible endoscope in one layer quite long distances, for example, 20 cm within the esophageal wall and/or the gastric wall. On this access peroral endoscopic myotomy (POEM) is based. The most frequently used option is an esophageal myotomy for the treatment of esophageal motility disorders. Achalasia is the most frequent disorder and has been the main indication of POEM. POEM has become also a major therapeutic option for other esophageal spastic motility disorders such as achalasia-like conditions, distal esophageal spasm, and Jackhammer esophagus.

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Authors and Affiliations

  1. Center for the Future of Surgery, University of California San Diego, La Jolla, CA, USA

    Karl-Hermann Fuchs

  2. St. Elisabethen Krankenhaus, Department of General and Visceral Surgery, Frankfurt am Main, Germany

    Wolfram Breithaupt & Thomas Schulz

  3. AGAPLESION Markus Krankenhaus, Department of General and Visceral Surgery, Frankfurt am Main, Germany

    Gabor Varga

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  1. Karl-Hermann Fuchs
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  2. Wolfram Breithaupt
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  4. Gabor Varga
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Correspondence to Karl-Hermann Fuchs .

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  1. Division of Minimally Invasive Surgery, Center for Fluorescence-Guided Surgery, Department of Surgery, University of California San Diego, La Jolla, CA, USA

    Santiago Horgan

  2. Center for the Future of Surgery, University of California San Diego, La Jolla, CA, USA

    Karl-Hermann Fuchs

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Fuchs, KH., Breithaupt, W., Schulz, T., Varga, G. (2021). Transesophageal Tunneling Technique and Peroral Endoscopic Myotomy (POEM). In: Horgan, S., Fuchs, KH. (eds) Innovative Endoscopic and Surgical Technology in the GI Tract . Springer, Cham. https://doi.org/10.1007/978-3-030-78217-7_10

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