Per-oral endoscopic myotomy short-term outcomes are good—but the long-term results are what count

Per-oral endoscopic myotomy (POEM), introduced in 2008 by Inoue et al,1 has rapidly become an established treatment for achalasia, expanding the number of patients having surgery and demonstrating short-term to mid-term efficacy and excellent safety profiles.2 When compared with laparoscopic Heller myotomy, POEM has been shown to have comparable efficacy, with less morbidity and shorter hospital stay.

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