Per-Oral Endoscopic Myotomy (POEM) Offers Critical Guidelines

A clinical practice update presented vital guidance on per-oral endoscopic myotomy (POEM), emphasizing that extensive diagnostic evaluations are essential before treatment. It highlights POEM as the preferred option for type III achalasia, while also supporting laparoscopic Heller myotomy and pneumatic dilation for other types. Antibiotic prophylaxis, post-procedure monitoring for gastroesophageal reflux disease, and individualized discharge plans are recommended. The report stresses the need for ongoing surveillance to manage disease progression and complications effectively.