Indications and Outcomes of Per Oral Endoscopic Myotomy from Mouth to Anus

Authors

Ashish Gandhi, Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune 411004, Maharashtra, India.
Jay Bapaye, Rochester Regional HealthFollow
Amol Bapaye, Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune 411004, Maharashtra, India.

Department

Internal Medicine

Document Type

Article

Publication Title

Gastrointestinal Endoscopy Clinics of North America

Abstract

Third space endoscopy or submucosal endoscopy using a mucosal flap valve allows secure access to the submucosal and deeper layers of the gastrointestinal tract without the risk of a full-thickness perforation. This allows the performance of submucosal tunneling and myotomy for spastic segments of the gastrointestinal tract. Per oral endoscopic myotomy (POEM) has been described for the treatment of achalasia cardia and other spastic esophageal disorders and is widely implemented. Endoscopic pyloromyotomy (G-POEM) has been performed for the treatment of refractory gastroparesis. Z-POEM for Zenker's diverticulum, D-POEM for epiphrenic diverticulum, and per-rectal endoscopic myotomy for treatment of Hirschsprung's disease are described.

First Page

99

Last Page

125

DOI

10.1016/j.giec.2022.08.002

Volume

33

Issue

1

Publication Date

1-1-2023

Medical Subject Headings

Humans; Anal Canal; Muscle Spasticity; Myotomy; Esophageal Achalasia (surgery); Mouth (surgery); Treatment Outcome; Natural Orifice Endoscopic Surgery

PubMed ID

36375890

Recommended Citation

Gandhi, A., Bapaye, J., & Bapaye, A. (2023). Indications and Outcomes of Per Oral Endoscopic Myotomy from Mouth to Anus. Gastrointestinal Endoscopy Clinics of North America, 33 (1), 99-125. https://doi.org/10.1016/j.giec.2022.08.002