Dr. Jeffrey Ponsky · Retrograde myotomy: a variation in per oral endoscopic myotomy (POEM) technique
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Article1 min read·Published Jul 2026

Retrograde myotomy: a variation in per oral endoscopic myotomy (POEM) technique

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Article · Jul 2026 · 1 min read

In brief

In brief

This article describes a retrograde dissection modification of the POEM procedure for achalasia treatment. The technique prioritizes early division of lower esophageal and upper gastric circular muscle fibers, potentially improving procedural safety and outcomes in endoscopic myotomy.

Written by the GCMD Library team from the article.

Jeffrey Ponsky

POEM was developed as a minimally invasive method for the treatment of achalasia. Our retrograde dissection modification allows the most critical portion of the case, namely division of the lower esophageal and upper gastric circular muscle fibers, to be performed earlier in the case. This ensures a …

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