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Current and Emerging Instruments and Energy

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Per Oral Endoscopic Myotomy (POEM)

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Abstract

Technological advancements and innovative techniques in endoscopic surgery have permitted peroral endoscopic myotomy (POEM), first described by Ortega [1] in 1980 and first performed on humans by Inoue in 2008 [2], to become a more widely adopted and utilized technique in the treatment for esophageal motility disorders. The endoscopic technique and technology utilized for POEM were developed from the principles of endoscopic submucosal dissection (ESD), first described in 1988 as a nonoperative approach for the treatment of early gastric cancer [3]. The technique and equipment used for ESD have evolved continuously in this time. Similarly, device and instrument advancements have already been seen with POEM, and they are expected to continue with further adoption of POEM and other surgical endoscopic procedures. This chapter will highlight the current and emerging instruments and energy sources utilized for safe and efficient performance of POEM based on existing experiences.

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Authors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

    James P. Villamere M.D. & Matthew D. Kroh M.D. (Institute Chief)

  2. Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE

    Matthew D. Kroh M.D. (Institute Chief)

Authors
  1. James P. Villamere M.D.
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  2. Matthew D. Kroh M.D.
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Correspondence to Matthew D. Kroh M.D. .

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Editors and Affiliations

  1. Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

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Villamere, J.P., Kroh, M.D. (2017). Current and Emerging Instruments and Energy. In: Reavis, K. (eds) Per Oral Endoscopic Myotomy (POEM). Springer, Cham. https://doi.org/10.1007/978-3-319-50051-5_3

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  • DOI: https://doi.org/10.1007/978-3-319-50051-5_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50049-2

  • Online ISBN: 978-3-319-50051-5

  • eBook Packages: MedicineMedicine (R0)

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