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

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

doi:10.1007/s00464-020-08282-0

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

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

Eastern Health Clinical School

Research output: Contribution to journal › Article › Other › peer-review

23 Citations (Scopus)

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.

Original language	English
Pages (from-to)	1931-1948
Number of pages	18
Journal	Surgical Endoscopy
Volume	35
Issue number	5
DOIs	https://doi.org/10.1007/s00464-020-08282-0
Publication status	Published - May 2021

Keywords

Clinical practice guidelines
Esophageal achalasia
Heller myotomy
Pneumatic dilatation
POEM procedure

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10.1007/s00464-020-08282-0

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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. (2021). SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia. Surgical Endoscopy, 35(5), 1931-1948. https://doi.org/10.1007/s00464-020-08282-0

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title = "SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia",

abstract = "BackgroundPeroral 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)ObjectiveThese 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.ResultsThe panel agreed on 4 recommendations for adults and children with achalasia.ConclusionsStrong 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.",

keywords = "Clinical practice guidelines, Esophageal achalasia, Heller myotomy, Pneumatic dilatation, POEM procedure",

author = "Kohn, {Geoffrey P.} and Dirks, {Rebecca C.} and Ansari, {Mohammed T.} and Jason Clay and Dunst, {Christy M.} and Lars Lundell and Marks, {Jeffrey M.} and Daniela Molena and Ceciel Rooker and Payal Saxena and Lee Swanstrom and Wong, {Reuben K.} and Pryor, {Aurora D.} and Dimitrios Stefanidis",

year = "2021",

month = may,

doi = "10.1007/s00464-020-08282-0",

language = "English",

volume = "35",

pages = "1931--1948",

journal = "Surgical Endoscopy",

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number = "5",

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T1 - SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia

AU - Kohn, Geoffrey P.

AU - Dirks, Rebecca C.

AU - Ansari, Mohammed T.

AU - Clay, Jason

AU - Dunst, Christy M.

AU - Lundell, Lars

AU - Marks, Jeffrey M.

AU - Molena, Daniela

AU - Rooker, Ceciel

AU - Saxena, Payal

AU - Swanstrom, Lee

AU - Wong, Reuben K.

AU - Pryor, Aurora D.

AU - Stefanidis, Dimitrios

PY - 2021/5

Y1 - 2021/5

N2 - BackgroundPeroral 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)ObjectiveThese 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.ResultsThe panel agreed on 4 recommendations for adults and children with achalasia.ConclusionsStrong 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.

AB - BackgroundPeroral 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)ObjectiveThese 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.ResultsThe panel agreed on 4 recommendations for adults and children with achalasia.ConclusionsStrong 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.

KW - Clinical practice guidelines

KW - Esophageal achalasia

KW - Heller myotomy

KW - Pneumatic dilatation

KW - POEM procedure

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DO - 10.1007/s00464-020-08282-0

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SN - 0930-2794

VL - 35

SP - 1931

EP - 1948

JO - Surgical Endoscopy

JF - Surgical Endoscopy

IS - 5

ER -

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

Abstract

Keywords

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