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Related Experiment Video

Updated: Jul 24, 2025

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
04:35

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Advanced Endoscopy for Thoracic Surgeons.

Kathleen M I Fuentes1, Kenneth P Seastedt2, Biniam Kidane3

  • 1Department of General Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.

Thoracic Surgery Clinics
|July 6, 2023
PubMed
Summary
This summary is machine-generated.

Thoracic surgeons can use advanced endoscopic techniques like Peroral Endoscopic Myotomy (POEM) for achalasia. Other endoscopic tools address esophageal issues, highlighting the rapid evolution of minimally invasive foregut treatments.

Keywords:
Anastomotic leakEndoluminal vacuum therapyEndoscopic clipEndoscopic stentingEndoscopyEsophageal perforationPeroral endoscopic myotomy

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Area of Science:

  • Minimally invasive surgery
  • Gastroenterology
  • Thoracic surgery

Background:

  • Foregut conditions require advanced therapeutic options.
  • Thoracic surgeons utilize a range of endoscopic techniques.
  • Achalasia is a primary indication for Peroral Endoscopic Myotomy (POEM).

Purpose of the Study:

  • To describe the authors' preferred Peroral Endoscopic Myotomy (POEM) approach for achalasia.
  • To review variations of POEM, including G-POEM, Z-POEM, and D-POEM.
  • To discuss other endoscopic therapies for esophageal pathologies.

Main Methods:

  • Description of the authors' preferred Peroral Endoscopic Myotomy (POEM) technique.
  • Review of Peroral Endoscopic Myotomy (POEM) variations (G-POEM, Z-POEM, D-POEM).
  • Discussion of complementary endoscopic procedures: stenting, vacuum therapy, drainage, suturing/clipping.

Main Results:

  • Peroral Endoscopic Myotomy (POEM) provides a less-invasive treatment for achalasia.
  • Endoscopic stenting, vacuum therapy, drainage, and suturing/clipping are valuable for esophageal leaks and perforations.
  • Advanced endoscopic procedures are rapidly evolving.

Conclusions:

  • Thoracic surgeons must stay current with advancements in endoscopic foregut treatments.
  • Peroral Endoscopic Myotomy (POEM) and related techniques offer significant therapeutic benefits.
  • Endoscopic interventions are becoming increasingly integral to thoracic surgical practice for foregut diseases.