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Surgical Endoscopy
Published in: Surgical Endoscopy 5/2021

01-05-2021 | Proton Pump Inhibitors | SAGES Guidelines

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

Authors: 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

Published in: Surgical Endoscopy | Issue 5/2021

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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.
Appendix
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Metadata
Title
SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia
Authors
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
Publication date
01-05-2021
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 5/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-08282-0

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