Pediatric achalasia and peroral endoscopic myotomy (POEM): Ten-year outcomes for 101 children at a single institution
Author / Expert
Mikael Petrosyan, Mark L. Kovler, Jill Rafie, Geetanjali Bora, Anil Darbari, Rebecca Chavez, Timothy D. Kane
Topic overview
Pediatric achalasia, characterized by impaired relaxation of the lower esophageal sphincter (LES) and abnormal esophageal peristalsis, remains a rare but increasingly recognized motility disorder. While laparoscopic Heller myotomy (LHM) has traditionally been the surgical treatment of choice, peroral endoscopic myotomy (POEM) has emerged as a promising minimally invasive alternative, demonstrating favorable safety profiles and efficacy. This study presents the largest single-institutional review of POEM outcomes in pediatric patients to date, including a significant subgroup of patients aged 10 years or younger, addressing a critical gap in the current literature.
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