Sep 17, 2026 · 8 min · 8 segments
\---------------------------------------------------------- By Dr Reza Lankarani, General Surgeon Founder of Surgical Pioneering Series…
Reza LankaraniHost
For generations, laparoscopic helleromyotomy with an anti-reflex procedure was a major surgical reference treatment.
Today, for oral endoscopic myotomy, HOEM has fundamentally changed the therapeutic landscape.
POEM provides a less invasive endoscopic route to divide the dysfunctional sphincter.
Contemporary guidelines now support POEM as an established treatment option, with particularly strong interest in Type III achalasia, where the longer myotomy that POEM can provide is technically attractive.
It earned its position because accumulated evidence demonstrated that an endoscopic procedure could achieve effective symptom control with a different risk and recovery profile.
Not replacing tradition with technology, but replacing uncertainty with evidence.
For generations, laparoscopic helleromyotomy with an anti-reflex procedure was a major surgical reference treatment.
Today, for oral endoscopic myotomy, HOEM has fundamentally changed the therapeutic landscape.
POEM provides a less invasive endoscopic route to divide the dysfunctional sphincter.
Contemporary guidelines now support POEM as an established treatment option, with particularly strong interest in Type III achalasia, where the longer myotomy that POEM can provide is technically attractive.
It earned its position because accumulated evidence demonstrated that an endoscopic procedure could achieve effective symptom control with a different risk and recovery profile.
Not replacing tradition with technology, but replacing uncertainty with evidence.
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