1. Gilliam, Tashina BSN, RN, CGRN

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In "Patients with Esophageal Achalasia: Keeping Them Safe" (Patient Safety, May 2017), the author didn't address peroral endoscopic myotomy (POEM) as a treatment option. Performed only by advanced endoscopists, POEM is an endoscopic equivalent of surgical myotomy.1 I work on a unit where we perform POEMs weekly. This treatment is becoming more common, and soon nurses will encounter more patients with achalasia who've undergone this procedure.


Baldwin, N.Y.




1. Friedel D, Modayil R, Iqbal S, Grendell JH, Stavropoulos SN. Per-oral endoscopic myotomy for achalasia: an American perspective. World J Gastrointest Endosc. 2013;5(9):420-427. [Context Link]