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Peroral Endoscopic Myotomy (POEM): Feasible as Reoperation Following Heller Myotomy

Tuesday, May 27, 2014

Submitted by

Mark Ferguson

Source

Source Name: Journal of Gastrointestinal Surgery

Source URL: http://link.springer.com/article/10.1007/s11605-014-2496-2

Author(s)

Y Vigneswaran, AK Yetasook, J-C Zhao, W Denham, JG Linn, MB Ujiki

POEM is being increasingly used for primary treatment of achalasia. This study evaluated POEM use for retreatment of 5 achalasia patients after prior laparoscopic esophageal myotomy and compared their results to 3 patients who underwent redo laparoscopic surgery. Both groups had similar low complication rates and improved symptoms at intermediate-term follow-up. The authors conclude that POEM is feasible for reoperative surgery for achalasia.