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Updated: Feb 7, 2026
06:42
Use of the Scissor-Type Knife During the Peroral Endoscopy Myotomy Procedure for the Treatment of Achalasia
Published on: March 3, 2023
3.6K
Clinical practice guidelines for peroral endoscopic myotomy
Haruhiro Inoue1, Hironari Shiwaku1, Katsuhiko Iwakiri1
1Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
Summary
The Japan Gastroenterological Endoscopy Society developed clinical guidelines for Peroral Endoscopic Myotomy (POEM) to standardize care for esophageal motility disorders. These guidelines address nine key topics in POEM practice.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Peroral endoscopic myotomy (POEM) is a minimally invasive technique for esophageal achalasia and motility disorders.
- POEM has gained rapid clinical acceptance due to its efficacy and novelty.
- Lack of established clinical guidelines created a need for standardized care.
Framework:
- The Japan Gastroenterological Endoscopy Society (JGES) formed a guideline committee in 2017.
- Guidelines were developed following the MINDS process, involving systematic reviews and meta-analyses.
- Research included retrospective studies, leading to low-strength evidence and recommendations.
Implementation:
- Guideline formulation involved multiple committee meetings in 2017.
- A consensus meeting in Tokyo in 2018 finalized recommendations using the modified Delphi method.
- The guidelines cover nine chief topics related to POEM practice.
Implications:
- Provides standardized care recommendations for Peroral Endoscopic Myotomy.
- Aims to guide national and international clinicians in POEM practice.
- Establishes a benchmark for the evolving field of endoscopic esophageal surgery.
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