Submucosal endoscopy: from ESD to POEM and beyond

Haruhiro Inoue; Esperanza Grace Santi; Manabu Onimaru; Shin-ei Kudo

doi:10.1016/j.giec.2013.12.003

Submucosal endoscopy: from ESD to POEM and beyond

Gastrointest Endosc Clin N Am. 2014 Apr;24(2):257-64. doi: 10.1016/j.giec.2013.12.003.

Authors

Haruhiro Inoue¹, Esperanza Grace Santi², Manabu Onimaru³, Shin-ei Kudo³

Affiliations

¹ Digestive Disease Center, Showa University Koto-Toyosu Hospital, Yokohama, Japan. Electronic address: haruinoue777@yahoo.co.jp.
² Section of Gastroenterology, Department of Internal Medicine, De La Salle University Medical Center, Manila, Philippines.
³ Digestive Disease Center, Showa University Koto-Toyosu Hospital, Yokohama, Japan.

PMID: 24679236
DOI: 10.1016/j.giec.2013.12.003

Abstract

Peroral endoscopic myotomy (POEM) is an evolving minimally invasive endoscopic surgical procedure, with no skin incision, intended for long-term recovery from symptoms of esophageal achalasia. POEM was developed based on both the already established surgical principles of esophageal myotomy and the advanced techniques of endoscopic submucosal dissection. This article relates how POEM was developed, and its use in practice is reported and discussed. As an extension of the POEM technique, submucosal endoscopic tumor resection is introduced.

Keywords: Achalasia; Endoscopic mucosal resection; Endoscopic submucosal dissection; Heller myotomy; Peroral endoscopic myotomy; Submucosal endoscopic tumor reaction; Submucosal tumor.

Publication types

Review

MeSH terms

Dissection / methods
Esophageal Achalasia / surgery*
Esophageal Sphincter, Lower / surgery*
Esophagoscopy / methods*
Esophagus / surgery*
Humans
Mucous Membrane / surgery*