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Review
. 2022 Sep 1;75(3):231-236.
doi: 10.1097/MPG.0000000000003503. Epub 2022 Aug 9.

Peroral Endoscopic Myotomy (POEM) in Children: A State of the Art Review

Ali A Mencin  1 , Amrita Sethi  2 , Monique T Barakat  3 , Diana G Lerner  4
Affiliations
Review

Peroral Endoscopic Myotomy (POEM) in Children: A State of the Art Review

Ali A Mencin et al. J Pediatr Gastroenterol Nutr. .

Abstract

Esophageal achalasia is a relatively rare disease in children that has been treated with balloon dilatation, botulinum toxin injection, and Heller myotomy. Peroral endoscopic myotomy (POEM) is another treatment that has been successfully employed to treat adults with achalasia for over a decade and has been increasingly used in children. This State of the Art Review from the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Endoscopy Committee reviews the current literature in pediatric POEM including the technique, success rate, complications as well as training guidelines. Though there is limited data, POEM in children has shown encouraging success rates and with further study may become the mainstay of pediatric achalasia treatment.

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Conflict of interest statement

A.S. is a consultant for Boston Scientific, Fujifilm, Medtronic and Olympus. The remaining authors report no conflicts of interest.

References

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    1. Rohof WO, Salvador R, Annese V, et al. Outcomes of treatment for achalasia depend on manometric subtype. Gastroenterology. 2013;144:718–25; quiz e13.
    1. Inoue H, Minami H, Kobayashi Y, et al. Peroral endoscopic myotomy (poem) for esophageal achalasia. Endoscopy. 2010;42:265–71.
    1. van Lennep M, van Wijk MP, Omari TIM, et al. Clinical management of pediatric achalasia: a survey of current practice. J Pediatr Gastroenterol Nutr. 2019;68:521–6.
    1. Nabi Z, Ramchandani M, Chavan R, et al. Outcome of peroral endoscopic myotomy in children with achalasia. Surg Endosc. 2019;33:3656–64.

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