TY  - CHAP
M1  - Book, Section
TI  - Peroral Endoscopic Myotomy (Poem)
A1  - Hunter, John G.
A1  - Spight, Donn H.
A1  - Sandone, Corinne
A1  - Fairman, Jennifer E.
PY  - 2018
T2  - Atlas of Minimally Invasive Surgical Operations
AB  - Patients  found  to  have  achalasia  are  candidates  for  peroral  endoscopic  myotomy  (POEM).  Workup  should  include  endoscopy,  upper  GI  series,  and  high-resolution  esophageal  manometry  to  confirm  the  diagnosis  of  achalasia  and  rule  out  paraesophageal  hernia  or  other  pathology  that  might  confound  the  creation  of  a  submucosal  tunnel.  Although  the  presence  of  a  hiatal  hernia  is  not  a  strict  contraindication  to  POEM,  the  patient  should  be  counseled  about  the  likelihood  of  reflux  that  will  occur,  because  an  antireflux  procedure  is  not  associated  with  this  approach  as  with  a  traditional  laparoscopic  Heller  myotomy.  Patients  should  also  be  consented  for  laparoscopic  surgery  so  that  the  threshold  to  convert  to  a  laparoscopic  or  hybrid  approach  is  low  in  the  event  of  safety  concerns.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1162529979
ER  -