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- W2313461139 endingPage "1060" @default.
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- W2313461139 abstract "POEM has emerged as a viable option for the treatment of achalasia and other spastic esophageal disorders. The POEM procedure involves sequential steps of mucosal incision, submucosal dissection and tunnel creation, myotomy, and subsequent closure of the mucosal incision. The optimal orientation (anterior vs posterior), depth (circular vs full thickness), and length of myotomy require further study. Several emerging technologies may provide information to help customize the procedural approach to an individual patient. The procedure is effective in >90% of achalasia patients, and the rate of serious adverse events is generally <5%. There is a paucity of controlled data; however, several ongoing randomized clinical trials are underway. POEM is a complex procedure for a relatively rare disease, which makes for a steep learning curve. The optimal training paradigm and benchmarks of proficiency have not been established. Establishing a POEM program requires multidisciplinary collaboration, and institutional administrative and review board approval are recommended." @default.
- W2313461139 created "2016-06-24" @default.
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- W2313461139 date "2016-06-01" @default.
- W2313461139 modified "2023-09-25" @default.
- W2313461139 title "Per-oral endoscopic myotomy (with video)" @default.
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- W2313461139 doi "https://doi.org/10.1016/j.gie.2016.03.001" @default.
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