Comprehensive analysis of efficacy and safety of peroral endoscopic myotomy performed by a gastroenterologist in the endoscopy unit: a single-center experience

Peroral endoscopic myotomy achieves similar clinical response but incurs lesser charges compared to robotic heller myotomy

“…[14151617] Comparative studies between POEM and LHM showed that clinical efficacy and safety were similar between both techniques. [78910] However, there currently exists no studies that have assessed charges associated with the POEM procedure or how POEM and RHM compare with respect to charges.…”

“…It has been proposed that POEM may be associated with cost savings considering its less invasive nature, which translates into shorter procedural times and easier post-procedural care. In addition, POEM is typically performed in the endoscopy unit[11819] rather than operating theater, with the latter entailing higher charges. However, it must be acknowledged that RHM is performed with a fundoplication as opposed to POEM which does not.…”

“…[1] using high-definition gastroscopes fitted with transparent caps under general anesthesia and insufflation using carbon dioxide. A triangular tip (TT) knife (KD 640L, Olympus, Japan) was used for all procedures.…”

“…[12345] The main shortcoming of botulinum toxin injection in the treatment of achalasia is its limited efficacy and low durability in patients who respond. [6] Pneumatic dilation is associated with good initial response rate but symptom recurrence is common.…”

The choice of myotomy in achalasia cardia: Heller's or per-oral endoscopic myotomy

“…POEM can be safely performed in an endoscopy suite, which costs less than that of an operating theatre. [67] It is likely that more and more centers will prefer an endoscopy suite for POEM procedure in the near future.…”