Introduction of the per-oral endoscopic myotomy technique to pediatric surgical practice

Stephanie Chao, Michael Russo, Robert Wright, Homero Rivas, James Wall

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of having no visible scars, preserving the outer longitudinal esophageal muscle fibers and avoiding a hiatal dissection. After extensive advanced endoscopy training sessions and IRB review, a POEM was successfully performed in a 16 yo female with achalasia. The POEM was performed without complication by a pediatric surgeon with an operative time of 184 min. The patient has had significant improvement in both dysphagia and regurgitation at 1 month. Advanced endoscopy is developing the capacity to treat what are currently considered surgical diseases including achalasia. As intraluminal, transmural, and transluminal endoscopic procedures evolve, pediatric surgeons will have to define their role in advanced endoscopy.

Original languageEnglish (US)
Pages (from-to)313-315
Number of pages3
JournalJournal of Pediatric Surgery Case Reports
Volume2
Issue number6
DOIs
StatePublished - 2014

Fingerprint

Esophageal Achalasia
Endoscopy
Pediatrics
Research Ethics Committees
Operative Time
Deglutition Disorders
Esophagus
Cicatrix
Dissection
Muscles
Surgeons

Keywords

  • Achalasia
  • Luminal surgery
  • Per-oral endoscopic myotomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Introduction of the per-oral endoscopic myotomy technique to pediatric surgical practice. / Chao, Stephanie; Russo, Michael; Wright, Robert; Rivas, Homero; Wall, James.

In: Journal of Pediatric Surgery Case Reports, Vol. 2, No. 6, 2014, p. 313-315.

Research output: Contribution to journalArticle

Chao, Stephanie ; Russo, Michael ; Wright, Robert ; Rivas, Homero ; Wall, James. / Introduction of the per-oral endoscopic myotomy technique to pediatric surgical practice. In: Journal of Pediatric Surgery Case Reports. 2014 ; Vol. 2, No. 6. pp. 313-315.
@article{f4fc61a2978940c19f4ae86ebd1b270a,
title = "Introduction of the per-oral endoscopic myotomy technique to pediatric surgical practice",
abstract = "Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of having no visible scars, preserving the outer longitudinal esophageal muscle fibers and avoiding a hiatal dissection. After extensive advanced endoscopy training sessions and IRB review, a POEM was successfully performed in a 16 yo female with achalasia. The POEM was performed without complication by a pediatric surgeon with an operative time of 184 min. The patient has had significant improvement in both dysphagia and regurgitation at 1 month. Advanced endoscopy is developing the capacity to treat what are currently considered surgical diseases including achalasia. As intraluminal, transmural, and transluminal endoscopic procedures evolve, pediatric surgeons will have to define their role in advanced endoscopy.",
keywords = "Achalasia, Luminal surgery, Per-oral endoscopic myotomy",
author = "Stephanie Chao and Michael Russo and Robert Wright and Homero Rivas and James Wall",
year = "2014",
doi = "10.1016/j.epsc.2014.06.009",
language = "English (US)",
volume = "2",
pages = "313--315",
journal = "Journal of Pediatric Surgery Case Reports",
issn = "2213-5766",
publisher = "Elsevier BV",
number = "6",

}

TY - JOUR

T1 - Introduction of the per-oral endoscopic myotomy technique to pediatric surgical practice

AU - Chao, Stephanie

AU - Russo, Michael

AU - Wright, Robert

AU - Rivas, Homero

AU - Wall, James

PY - 2014

Y1 - 2014

N2 - Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of having no visible scars, preserving the outer longitudinal esophageal muscle fibers and avoiding a hiatal dissection. After extensive advanced endoscopy training sessions and IRB review, a POEM was successfully performed in a 16 yo female with achalasia. The POEM was performed without complication by a pediatric surgeon with an operative time of 184 min. The patient has had significant improvement in both dysphagia and regurgitation at 1 month. Advanced endoscopy is developing the capacity to treat what are currently considered surgical diseases including achalasia. As intraluminal, transmural, and transluminal endoscopic procedures evolve, pediatric surgeons will have to define their role in advanced endoscopy.

AB - Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of having no visible scars, preserving the outer longitudinal esophageal muscle fibers and avoiding a hiatal dissection. After extensive advanced endoscopy training sessions and IRB review, a POEM was successfully performed in a 16 yo female with achalasia. The POEM was performed without complication by a pediatric surgeon with an operative time of 184 min. The patient has had significant improvement in both dysphagia and regurgitation at 1 month. Advanced endoscopy is developing the capacity to treat what are currently considered surgical diseases including achalasia. As intraluminal, transmural, and transluminal endoscopic procedures evolve, pediatric surgeons will have to define their role in advanced endoscopy.

KW - Achalasia

KW - Luminal surgery

KW - Per-oral endoscopic myotomy

UR - http://www.scopus.com/inward/record.url?scp=84904565086&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904565086&partnerID=8YFLogxK

U2 - 10.1016/j.epsc.2014.06.009

DO - 10.1016/j.epsc.2014.06.009

M3 - Article

AN - SCOPUS:84904565086

VL - 2

SP - 313

EP - 315

JO - Journal of Pediatric Surgery Case Reports

JF - Journal of Pediatric Surgery Case Reports

SN - 2213-5766

IS - 6

ER -