Abstract
Per-oral endoscopic myotomy (POEM) is an evolving minimally invasive endoscopic surgery with no skin incision. POEM is considered one of the best applications of natural orifice translumenal endoscopic surgery (NOTES), and its intention is the long-term recovery from symptoms of esophageal achalasia. What is known from the similarities of both ESD and POEM is that if either the mucosa or the muscle layer is kept intact, neither peritonitis nor mediastinitis may occur, because either mucosa or muscle layer works as a strong barrier. The clinical success of POEM encouraged another application of submucosal tunneling, which is per-oral endoscopic tumor resection (POET).
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Inoue, H., Santi, E.G., Ikeda, H., Onimaru, M., Itoh, H. (2015). Submucosal Endoscopy: From ESD to POEM and POET. In: Fukami, N. (eds) Endoscopic Submucosal Dissection. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2041-9_21
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