Peroral endoscopic myotomy (POEM) is a novel treatment for achalasia and other spastic oesophageal motility disorders. Although technically demanding, this technique compares favourably with other therapeutic approaches such as laparoscopic Heller myotomy and pneumatic dilation. In this Review the authors describe the technique, the indications and contraindications, safety and efficacy of POEM.
- Robert Bechara
- Haruo Ikeda
- Haruhiro Inoue