Article
Surgery
Jun Liang Teh, Hui Yu Tham, Alex Yu Sen Soh, Corrisa Chee, Guowei Kim, Asim Shabbir, Reuben Kong Min Wong, Jimmy Bok Yan So
Summary: This study focused on reflux after POEM, finding that 43.1% of patients had symptomatic reflux, 60% had endoscopic evidence of esophagitis, and 56% had increased acid exposure on pH-impedance test.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Sunil Dacha, Hiroyuki Aihara, Gobind S. Anand, Kathryn R. Byrne, Prabhleen Chahal, Theodore James, Thomas E. Kowalski, Emad Qayed, Aparna Repaka, Mohammed Saadi, Sunil G. Sheth, Jason R. Taylor, Catharine M. Walsh, Renee L. Williams, Mihir S. Wagh
Summary: This document provides recommendations for a training curriculum on peroral endoscopic myotomy, intended for training directors, endoscopists, and trainees. It serves as an overview of techniques and a guide to published references, videos, and other resources for the trainer.
GASTROINTESTINAL ENDOSCOPY
(2021)
Review
Gastroenterology & Hepatology
David Friedel, Stavros N. Stavropoulos
Summary: Peroral endoscopic myotomy (POEM) is a minimally invasive procedure for treating esophageal achalasia. It has proven to be a superior alternative to laparoscopic Heller myotomy, especially for type III achalasia. However, there are concerns regarding the development of gastroesophageal reflux disease (GERD) after POEM, which requires further refinement of the technique and post-procedural care.
MINERVA GASTROENTEROLOGY
(2023)
Article
Surgery
Michael B. Ujiki, Vanessa N. VanDruff
Summary: Peroral endoscopic myotomy (POEM) is an innovative and minimally invasive treatment for achalasia. Studies worldwide have shown that POEM is safe and effective for different types of achalasia.
WORLD JOURNAL OF SURGERY
(2022)
Article
Surgery
Geoffrey P. Kohn, Rebecca C. Dirks, Mohammed T. Ansari, Jason Clay, Christy M. Dunst, Lars Lundell, Jeffrey M. Marks, Daniela Molena, Ceciel Rooker, Payal Saxena, Lee Swanstrom, Reuben K. Wong, Aurora D. Pryor, Dimitrios Stefanidis
Summary: POEM is recommended for the treatment of achalasia, especially for subtype III. Consideration of patient concerns about continued postoperative PPI use is crucial in decision-making.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Cardiac & Cardiovascular Systems
Monisha Sudarshan, Siva Raja, Saurav Adhikari, Sudish Murthy, Prashanthi Thota, Scott Gabbard, Monica Ray, Usman Ahmad, Mahdusudhan Sanaka
Summary: This study aimed to investigate the effectiveness of POEM in patients with type III achalasia. The results showed that POEM surgery can improve symptoms and esophageal function in patients, with long-lasting effects and fast postoperative recovery. The incidence of complications in patients was low. Therefore, POEM can be considered as a first-line treatment for this subtype of the disease.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Review
Oncology
Antony Delliturri, Ory Wiesel, Jason Shaw, Igor Brichkov
Summary: The field of endoscopic esophageal surgery is based on the concept of NOTES, allowing for decreased morbidity and equivalent outcomes for patients. POEM is an effective method for managing achalasia by directly dividing the circular muscular layer of the esophagus without destroying surrounding structures. The innovations in endoscopic surgery have focused on the management of achalasia over the last 10 years, revolutionizing the use of flexible technology and mucosal closure methods.
ANNALS OF TRANSLATIONAL MEDICINE
(2021)
Article
Gastroenterology & Hepatology
Hiroki Sato, Yohei Nishikawa, Hirofumi Abe, Hironari Shiwaku, Junya Shiota, Chiaki Sato, Hiroyuki Sakae, Masaki Ominami, Yoshitaka Hata, Hisashi Fukuda, Ryo Ogawa, Jun Nakamura, Tetsuya Tatsuta, Yuichiro Ikebuchi, Hiroshi Yokomichi, Shuji Terai, Haruhiro Inoue
Summary: Screening and surveillance of POEM are crucial in detecting esophageal carcinoma. ESD is feasible for achalasia cases, but can be challenging on the POEM-line due to fibrosis. Surveillance endoscopy is recommended for specific high-risk cases and those with a history of esophageal carcinomas.
DIGESTIVE ENDOSCOPY
(2022)
Review
Gastroenterology & Hepatology
Jayanta Samanta, Zaheer Nabi, Jahnvi Dhar, Harshal S. Mandavdhare
Summary: Esophageal diverticula (ED) are rare and mostly seen in elderly, with a variety of symptoms. The key step in managing symptomatic ED is septum division and addressing underlying motility dysfunction. Traditional surgical options have high morbidity and mortality, while endoscopic septal division is inadequate for epiphrenic diverticulum. Recently, peroral endoscopic myotomy (POEM) has been used for ED management with good safety and efficacy. This review provides a detailed account of the technical steps, evaluation, and literature review of POEM for epiphrenic and mid-esophageal diverticulum, as well as proposed management algorithm.
MINERVA GASTROENTEROLOGY
(2023)
Article
Surgery
Gad Marom, Harold Jacob, Ariel Benson, Tiberiu Hershcovici, Rachel Gefen, Jonathan B. Yuval, Ronit Brodie, Avraham Rivkind, Yoav Mintz
Summary: The study compared the standard POEM technique with the distal-to-proximal, or bottom-up technique using the Flush/Dual knife and found the latter to be equally effective, safer, faster, and easier. The results suggest considering the bottom-up technique for performing POEM in achalasia patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Zhao -Chao Zhang, Jia-Qi Xu, Xin-Yang Liu, Hai-Ting Pan, Shi-Yao Chen, Yun-Shi Zhong, Yi-Qun Zhang, Wei-Feng Chen, Li -Li Ma, Jian-Wei Hu, Ming-Yan Cai, Wen-Zheng Qin, Quan-Lin Li, Ping-Hong Zhou
Summary: Salvage POEM is a promising treatment option for achalasia patients who have experienced myotomy failure, especially after a previous POEM failure, as it has a high rate of treatment success and clinical relief.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Muhammad Haseeb, Zubair Khan, Muhammad Umar Kamal, Pichamol Jirapinyo, Christopher C. Thompson
Summary: This study compared the short-term outcomes and safety profiles of three treatment modalities for achalasia: peroral endoscopic myotomy (POEM), laparoscopic Heller myotomy (LHM), and pneumatic dilation (PD). The results showed that patients undergoing PD had higher readmission rates and resource utilization, while the outcomes of POEM and LHM were comparable, but there was a significant difference in the utilization of these myotomy procedures.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Eduardo Turiani Hourneaux de Moura, Jose Jukemura, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Aureo Augusto de Almeida Delgado, Lara Meireles Azeredo Coutinho, Diogo Turiani Hourneaux de Moura, Rubens Antonio Aissar Sallum, Ary Nasi, Sergio A. Sanchez-Luna, Paulo Sakai, Eduardo Guimaraes Hourneaux de Moura
Summary: This study compared the efficacy and outcomes of POEM and LM-PF in the treatment of achalasia. The results showed no significant differences between the two groups in symptom improvement, but the rate of reflux esophagitis was higher in the POEM group. The POEM group had shorter anesthesia and procedure times, and improvement in all domains of quality of life.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
Joseph R. Triggs, Amanda J. Krause, Dustin A. Carlson, Erica N. Donnan, Ryan A. J. Campagna, Anand S. Jain, Peter J. Kahrilas, Eric S. Hungness, John E. Pandolfino
Summary: BOM is a common adverse event after myotomy for achalasia, associated with post-treatment symptom severity, achalasia type, and treatment modality. Pretreatment type III achalasia, LHM as opposed to POEM, and an increased post-treatment integrated relaxation pressure are risk factors for BOM development.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Surgery
Wei Zhao, Bin Wang, Lingyun Zhang, Zhongqing Zheng, Xin Chen, Chunshan Zhao, Bangmao Wang, Hong Jin, Lili Zhang
Summary: Smooth muscle fibrosis is common in the lower part of the esophagus in patients with achalasia, and it is positively correlated with the severity of symptoms two years after per-oral endoscopic myotomy (POEM). The fibrosis may be related to eosinophil infiltration and TGF-beta 1.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Respiratory System
Kirsten A. Freeman
Summary: As a new surgeon, understanding the transitions and challenges ahead, building a support network, and focusing on clinical competence are key to thriving in the first years of your career.
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Keith S. Naunheim, Joseph J. Platz
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Fatima G. Wilder, Jason J. Han
Summary: Mentorship plays a crucial role in a successful career in cardiothoracic surgery, and finding a mentor and establishing a fruitful mentor-mentee relationship requires self-reflection, alignment of goals, open communication, and regular feedback. There are various resources available in the cardiothoracic surgery community to aid members in finding and maintaining successful mentoring relationships.
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Jennifer L. Perri, Tom C. Nguyen
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Melanie A. Edwards
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Rachel Kim, Nahush A. Mokadam
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
William A. Baumgartner
Summary: The author enjoys spending time with their family in retirement and emphasizes the importance of staying active and connected. Mentoring, editing, and documenting family history are also meaningful activities for the author. The author misses the interactions with colleagues but believes retirement can be greatly enjoyed with proper preparation.
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Sarah Khalil, Anna Olds, Kristine Chin, Cherie P. Erkmen
THORACIC SURGERY CLINICS
(2024)
Editorial Material
Respiratory System
Ourania Preventza
Summary: Making a professional transition during a surgeon's mid-career is challenging. It is a crucial phase where experience, repetition, and judgment are developed through extensive practice. This phase involves deciding one's future, helping others shape theirs, and moving into the senior phase of a career.
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Himanshu J. Patel, Stefanie L. Peters, Barbara Hamilton, Andrew C. Chang
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Robert James Cerfolio
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Marko T. Boskovski, Elaine E. Tseng
Summary: The promotion process at academic institutions is clearly defined, and promotion criteria vary based on academic tracks. Promotion packets include multiple components.
THORACIC SURGERY CLINICS
(2024)
Article
Respiratory System
Russell Seth Martins, Kostantinos Poulikidis, Faiz Y. Bhora
Summary: This article emphasizes the importance of financial literacy for new attending surgeons, including establishing a financial team, obtaining appropriate insurance, and planning for retirement. It also reminds surgeons to strike a balance between personal life goals and long-term financial obligations.
THORACIC SURGERY CLINICS
(2024)
