P.O.E.M. Procedure: What the Radiologist Needs to Know for This New Surgical Intervention for Achalasia

Achalasia is a debilitating condition resulting from the failure of appropriate lower esophageal sphincter (LES) relaxation. Traditionally, the treatment of choice for achalasia has been a Heller myotomy, performed either via laparotomy or laparoscopically. The latter method has gained wide populari...

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Bibliographic Details
Published in:Current problems in diagnostic radiology 2017-03, Vol.46 (2), p.146-150
Main Authors: Williams, Brian, MD, Kass, Jonathan, MD, Maheshwary, Rishi, MD, Gurram, Krishna, MD, Hartman, Matthew, MD
Format: Article
Language:English
Subjects:
Contrast Media
Esophageal Achalasia - diagnostic imaging
Esophageal Achalasia - surgery
Esophagoscopy - methods
Humans
Internal Medicine
Postoperative Complications - diagnostic imaging
Radiology
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Summary:Achalasia is a debilitating condition resulting from the failure of appropriate lower esophageal sphincter (LES) relaxation. Traditionally, the treatment of choice for achalasia has been a Heller myotomy, performed either via laparotomy or laparoscopically. The latter method has gained wide popularity in its documented lower postoperative morbidity. Recently, however, a new technique has been developed that can be performed by both thoracic surgeons and endoscopists: Per-Oral Endoscopic Myotomy (POEM). This procedure offers an alternative to invasive surgery, and provides excellent outcomes with minimal recovery time [1]. This article will help familiarize radiologists with this new technique, as well as both normal and abnormal post-operative appearances.
ISSN:0363-0188
1535-6302
DOI:10.1067/j.cpradiol.2016.04.001