per oral endoscopic myotomy poem by kevin m reavis pdf xpqb

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Per Oral Endoscopic Myotomy (POEM) is a minimally invasive procedure primarily used to treat esophageal achalasia, a condition characterized by the inability of the lower esophageal sphincter to relax properly, leading to swallowing difficulties. The technique was first introduced by Dr. Eiji Inoue and has gained popularity due to its effectiveness and reduced recovery times compared to traditional surgical approaches. During the procedure, an endoscope is inserted through the mouth and into the esophagus, where a tunnel is created in the esophageal wall. This allows the surgeon to cut the muscle fibers of the lower esophageal sphincter, facilitating easier passage of food and liquids into the stomach. POEM is performed under general anesthesia and typically requires only a short hospital stay. The benefits include less postoperative pain, a quicker return to normal activities, and fewer dietary restrictions compared to other treatments. Dr. Kevin M. Reavis is known for his contributions to advancing this technique, helping to refine the procedure and improve patient outcomes. As a result, POEM has become a cornerstone in the management of achalasia and offers patients an ultimate solution to their swallowing difficulties while minimizing the invasiveness associated with traditional surgical methods.