SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia Guidelines


Authors: Kohn, G. P.; Dirks, R. C.; Ansari, M. T.; Clay, J.; Dunst, C. M.; Lundell, L.; Marks, J. M.; Molena, D.; Rooker, C.; Saxena, P.; Swanstrom, L.; Wong, R. K.; Pryor, A. D.; Stefanidis, D.
Title: SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia
Abstract: Background: Peroral endoscopic myotomy (POEM) is increasingly used as primary treatment for esophageal achalasia, in place of the options such as Heller myotomy (HM) and pneumatic dilatation (PD) Objective: These evidence-based guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) intend to support clinicians, patients and others in decisions about the use of POEM for treatment of achalasia. Results: The panel agreed on 4 recommendations for adults and children with achalasia. Conclusions: Strong recommendation for the use of POEM over PD was issued unless the concern of continued postoperative PPI use remains a key decision-making concern to the patient. Conditional recommendations included the option of using either POEM or HM with fundoplication to treat achalasia, and favored POEM over HM for achalasia subtype III. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.
Keywords: clinical practice guidelines; esophageal achalasia; pneumatic dilatation; heller myotomy; poem procedure
Journal Title: Surgical Endoscopy
Volume: 35
Issue: 5
ISSN: 0930-2794
Publisher: Springer  
Date Published: 2021-05-01
Start Page: 1931
End Page: 1948
Language: English
DOI: 10.1007/s00464-020-08282-0
PUBMED: 33564964
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 3 May 2021 -- Source: Scopus
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  1. Daniela   Molena
    117 Molena