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Clinical Introduction of POEM for Achalasia: Technique

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Per Oral Endoscopic Myotomy (POEM)

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Abstract

This chapter discusses the technical aspects of the peroral endoscopic myotomy (POEM), including patient positioning, equipment setup, operative technique, and perioperative management including a discussion of common complications. The technique described in this chapter was developed at University Hospitals Cleveland Medical Center with assistance from Dr. Haruhiro Inoue and has been modified over the last several years. As this is a relatively new procedure without evidence-based guidelines for the individual steps of the procedure, there are many variations at the numerous centers performing POEMs. Many of the variations are referenced within this chapter.

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Abbreviations

CO2 :

Carbon dioxide

EGD:

Esophagogastroduodenoscopy

ERCP:

Endoscopic retrograde cholangiopancreatography

GE:

Gastroesophageal

LES:

Lower esophageal sphincter

POEM:

Peroral endoscopic myotomy

References

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Author information

Authors and Affiliations

  1. University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA

    Hannah Y. Zhou M.D. & Jeffrey A. Marks M.D., F.A.C.S.

Authors
  1. Hannah Y. Zhou M.D.
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  2. Jeffrey A. Marks M.D., F.A.C.S.
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Corresponding author

Correspondence to Hannah Y. Zhou M.D. .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

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© 2017 Springer International Publishing AG

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Zhou, H.Y., Marks, J.A. (2017). Clinical Introduction of POEM for Achalasia: Technique. In: Reavis, K. (eds) Per Oral Endoscopic Myotomy (POEM). Springer, Cham. https://doi.org/10.1007/978-3-319-50051-5_5

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  • DOI: https://doi.org/10.1007/978-3-319-50051-5_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50049-2

  • Online ISBN: 978-3-319-50051-5

  • eBook Packages: MedicineMedicine (R0)

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