ArticleTherapeutics and clinical risk management2012
Training in peroral endoscopic myotomy (POEM) for esophageal achalasia.
Article in Therapeutics and clinical risk management, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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Who cites it
45 citing papers in PubMed, 103 citations in OpenAlex.
- Double-scope per oral endoscopic myotomy (POEM): a prospective randomized controlled trial.Surgical endoscopy · 2016Trial
- Peroral endoscopic myotomy for advanced achalasia with sigmoid-shaped esophagus: long-term outcomes from a prospective, single-center study.Surgical endoscopy · 2015Trial
- Long-term outcome of peroral endoscopic myotomy for sigmoid-type achalasia: S1 vs S2 subtypes.Surgical endoscopy · 2026Article
- Evaluation of Anesthesia Management During Peroral Endoscopic Myotomy in Patients with Achalasia: A Retrospective Study.Journal of clinical medicine · 2025Article
- Seven-Year Experience of Intramural Surgery in the Middle East: A Safety and Feasibility Analysis.Journal of clinical medicine · 2024Article
- Same-day discharge is safe and feasible following POEM surgery for esophageal motility disorders.Surgical endoscopy · 2021Article
- Acquiring new complex endoscopic skills: Experience from the development of peroral endoscopic myotomy (POEM) in Malaysia.JGH open : an open access journal of gastroenterology and hepatology · 2021Article
- Peroral endoscopic myotomy: techniques and outcomes.Shanghai chest · 2021Article
- The Modern Age of POEM: the Past, Present and Future of Per-Oral Endoscopic Myotomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Review
- Per-oral endoscopic myotomy (POEM) training and skills evaluation tool: a pilot study.Endoscopy international open · 2020Article
- Vigorous achalasia: Zebra amongst horses.SA journal of radiology · 2020Article
- Peroral Endoscopic Myotomy as a Novel Treatment for Achalasia: Patient Selection and Perspectives.Clinical and experimental gastroenterology · 2020Review
- Endoscopic applications of magnets for the treatment of gastrointestinal diseases.World journal of gastrointestinal endoscopy · 2019Review
- Peroral endoscopic myotomy (POEM) for achalasia.Journal of thoracic disease · 2019Review
- Outcomes and quality of life assessment after per oral endoscopic myotomy (POEM) performed in the endoscopy unit with trainees.Surgical endoscopy · 2018Article
- Teaching peroral endoscopic myotomy (POEM) to surgeons in practice: an "into the fire" pre/post-test curriculum.Surgical endoscopy · 2018Article
- Outcomes in patients with over 1-year follow-up after peroral endoscopic myotomy (POEM).Surgical endoscopy · 2017Article
- Development and use of a non-biomaterial model for hands-on training of endoscopic procedures.Annals of translational medicine · 2017Article
- Successful peroral endoscopic myotomy performed in Endoscopy Department as a radical, long-term treatment for esophageal achalasia - the Greek experience.Therapeutics and clinical risk management · 2017Article
- Factors predicting the technical difficulty of peroral endoscopic myotomy for achalasia.Surgical endoscopy · 2016Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Peroral endoscopic myotomy (POEM) has been developed in the context of natural orifice transluminal endoscopic surgery (NOTES) as a minimally invasive endoscopic treatment for symptomatic esophageal achalasia, which is a chronic progressive benign disease with severe morbidity and difficult management. Since September 2008, POEM has been successfully performed in more than 200 consecutive patients with symptomatic achalasia at the Digestive Disease Center of Showa University, Northern Yokohama Hospital, Yokohama, Japan, with excellent short- and long-term results and absence of serious complications. International experience of POEM within clinical studies is also promising. According to these results, POEM is considered as a safe procedure that can be applied to all achalasia patients. However, the low incidence of achalasia (0.3%-1% per 100,000 population), in combination with the potential serious complications related to the technically demanding POEM procedure, has made training difficult. There is therefore an urgent need for an animal model for training to decrease the learning curve. Further, there are other ethical and training issues to address. The pig is the most appropriate animal model for training in POEM due to its anatomy being similar to that of humans. The porcine esophagus has the advantage of easy mobilization due to absence of tight junctions to surrounding organs. A non-survival porcine model would be a simple, inexpensive, and reproducible animal model for training in POEM, without the need for concern about complications. A possible training process might first involve observation of POEM performed by specialists, then training on non-survival and survival porcine models, followed by training in humans under specialist guidance and finally, performance of POEM in humans.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.