A Review of Peroral Endoscopic Myotomy for Achalasia
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 10
Abstract
Peroral endoscopic myotomy(POEM) is a form of transluminal endoscopic natural orifice surgery (NOTES) that uses the beginnings of submucosal endoscopy to make the endoscopic equivalent of a surgical myotomy. POEM can be done in most patients who have primary idiopathic achalasia demonstrated manometrically symptomatic. Previous therapies for achalasia, such as pneumatic balloon dilation, botulinum toxin injection, or surgical myotomy, are not contraindications to POEM. Generally, POEM is done in 4 continuous steps: incision in the mucosa, construction of a submucosal tunnel, myotomy and closure of the incision in the mucosa. Endoscopic management has been revolutionary for the treatment of achalasia and other pathological entities, however, it must be performed in specialized centresand by endoscopist surgeons with extensive experience in the subject, to reduce the associated morbidity and mortality
Authors and Affiliations
Hebert Ruvalcaba Altamirano
Keywords
Related Articles
- EP ID EP733689
- DOI 10.47191/ijmscrs/v2-i10-28
- Views 29
- Downloads 0
Acroyschemia in a Male Patient with Covid 19: A Case Report
Coronavirus disease-19 (COVID-19) which is an enveloped RNA beta coronavirus. First emerged in December 2019 in China and rapidly spread worldwide. Although various studies have reported that COVID-19 is associated with...
Implication Of Health Informatics on the Healthcare Workers’ Activities in Saudi German Hospital in Jeddah, Saudi Arabia
Background: health informatics have bene used in the field healthcare for quite a long time. Research investigations have since been conducted to examine various features around the use and application of health informat...
Malignant Hyperthermia: Clinical Management
Malignant hyperthermia is a subclinical myopathy in which general anesthesia triggers an uncontrollable contraction of skeletal muscle that leads to a life-threatening hypercatabolic state and an in...
Public Awareness of Depression – An Informal Clinical Study
The real challenge regards depression is the barriers associated with its diagnosis and treatment. These barriers are present due to the stigma associated with depression, as many individuals do not consider depression d...
Study of Aortic Stenosis and Calcification in Patients with Chronic Kidney Disease treated with Hemodialysis in a Private Clinic in Puebla: Case Report
Chronic kidney disease (CKD) is a disease whose incidence and prevalence have increased globally, this pathology is associated with multiple morbimortalities, especially in the cardiovascular field (Ewen et al.,2019). Th...