000807203 000__ 06112cam\a2200565Ii\4500 000807203 001__ 807203 000807203 005__ 20230306143934.0 000807203 006__ m\\\\\o\\d\\\\\\\\ 000807203 007__ cr\cn\nnnunnun 000807203 008__ 170626s2017\\\\sz\a\\\\ob\\\\001\0\eng\d 000807203 019__ $$a992395997$$a992729510$$a996411836$$a999464098$$a1005781292$$a1011955427 000807203 020__ $$a9783319500515$$q(electronic book) 000807203 020__ $$a3319500511$$q(electronic book) 000807203 020__ $$z9783319500492 000807203 020__ $$z331950049X 000807203 0247_ $$a10.1007/978-3-319-50051-5$$2doi 000807203 035__ $$aSP(OCoLC)ocn991595646 000807203 035__ $$aSP(OCoLC)991595646$$z(OCoLC)992395997$$z(OCoLC)992729510$$z(OCoLC)996411836$$z(OCoLC)999464098$$z(OCoLC)1005781292$$z(OCoLC)1011955427 000807203 040__ $$aN$T$$beng$$erda$$epn$$cN$T$$dN$T$$dGW5XE$$dEBLCP$$dYDX$$dAZU$$dUPM$$dOCLCF$$dKOS$$dOCLCO$$dCOO$$dOCLCQ$$dOCLCA$$dUAB 000807203 049__ $$aISEA 000807203 050_4 $$aRD33.53 000807203 08204 $$a617.057$$223 000807203 24500 $$aPer oral endoscopic myotomy (POEM) /$$cKevin M. Reavis, editor ; introduction by Haruhiro Inoue. 000807203 2463_ $$aPeroral endoscopic myotomy 000807203 264_1 $$aCham, Switzerland :$$bSpringer,$$c[2017] 000807203 300__ $$a1 online resource :$$bcolor illustrations 000807203 336__ $$atext$$btxt$$2rdacontent 000807203 337__ $$acomputer$$bc$$2rdamedia 000807203 338__ $$aonline resource$$bcr$$2rdacarrier 000807203 347__ $$atext file$$bPDF$$2rda 000807203 504__ $$aIncludes bibliographical references and index. 000807203 5050_ $$aPreface; Contents; Contributors; 1: Introduction: Endoscopic Submucosal Dissection to Per Oral Endoscopic Myotomy (POEM); Introduction; Endoscopic Mucosal Resection (EMR); Strip Biopsy; Band Ligation; Evolution of the Distal Cap; Large-Volume Injection; Endoscopic Submucosal Dissection (ESD); From EMR to ESD; Evolution of Knives; Submucosal Tunneling; POEM; Experimental Endoscopic Myotomy; Early Experience with Human POEM; Summary and Future Trends; References; 2: POEM: Concept to Research Laboratory; Introduction; History of Achalasia Therapy; Pathophysiology; Early Endoscopic Myotomy. 000807203 5058_ $$aThird Space Endoscopy Technical Maturation; Future Trends; References; 3: Current and Emerging Instruments and Energy; Introduction; Devices for POEM; Endoscopes; Overtubes; Gas Insufflation; Knives; Electrosurgical Units (ESU); Hemostatic Forceps; Adjuvant Tools for Tissue Retraction and Enhanced Visualization; Injection Agents and Devices; Biliary Extraction Balloon; Mucosal Closure Devices; Summary; References; 4: Indications and Preoperative Workup for Peroral Endoscopic Myotomy; Peroral Endoscopic Myotomy; Achalasia; Symptom Evaluation; Dysphagia; Regurgitation. 000807203 5058_ $$aChest Pain Heartburn; Weight Loss; Symptom Scores; Past Medical History; Diagnostic Evaluation; Upper Endoscopy; Contrast Esophagram; Esophageal Manometry; Ambulatory pH Monitoring; Expanded Indications; References; 5: Clinical Introduction of POEM for Achalasia: Technique; Introduction; Preoperative Patient Preparation; Preoperative Operating Room Preparation; Intraoperative Patient and Staff Preparation; Operative Technique; Commentary; References; 6: Technical Modifications for Motility Disorders: Dimensions of Dissection; Introduction; Preoperative Evaluation; Manometry. 000807203 5058_ $$aHigh-Resolution Manometry Analysis The Chicago Classification; Achalasia; Outflow Obstruction; Esophageal Motor Dysfunctions; POEM Technique; Mapping EGD; Dissection of the Submucosal Tunnel; Myotomy and Closure; EndoFLIP; Extended Criteria; Hypertensive Motor Disorders; End-Stage Achalasia; Previous Endoscopic and Surgical Interventions; POEM in the Pediatric Population; POEM in the Obese Population; References; 7: POEM Contraindications and Pitfalls; Introduction; POEM Contraindications and Pitfalls in Patient Selection; POEM Contraindication Due to Comorbidities. 000807203 5058_ $$aPatients in Whom POEM May Not Represent Appropriate Therapy Procedural Pitfalls; Preprocedure Preparation; Tunnel Initiation and Orientation; Initial Submucosal Injection; Initial Mucosal Incision; Initial Entry into the Submucosal Space and Tunnel Initiation; Submucosal Tunnel Dissection; Myotomy; Closure of the Submucosal Tunnel; References; 8: Learning Curve and Initial Outcomes; Introduction; Early Outcomes; Learning Curve; Measuring EGJ Distensibility During POEM; References; 9: Comparative Outcomes: POEM Versus Balloons, Botox, and Surgical Myotomy; References. 000807203 506__ $$aAccess limited to authorized users. 000807203 520__ $$aThis text is designed to present a comprehensive and state-of the-art approach to the current and future status of POEM. Sections address preliminary issues faced by surgeons and gastroenterologists who are interested in implementing this procedure into their treatment armamentarium. These areas include the evolution of the technique, training and credentialing, as well as tools and platforms commonly used for POEM. Subsequent chapters focus on specific disease processes, and future applications of the technique. Written by experts in POEM, Per Oral Endoscopic Myotomy (POEM) addresses patient selection, pre-operative considerations, technique, and avoiding complications. A brief editorial review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on emerging and future applications. Extensive endoscopic images and illustrations make this an interactive text for General Surgeons, Surgical Endoscopists, Gastroenterologists, and associated sub-specialists. 000807203 588__ $$aOnline resource; title from PDF title page (viewed June 28, 2017). 000807203 588__ $$aVendor-supplied metadata. 000807203 650_0 $$aEndoscopic surgery. 000807203 650_0 $$aEsophagus$$xDiseases. 000807203 650_0 $$aEsophagus$$xMotility$$xDisorders. 000807203 7001_ $$aReavis, Kevin M.,$$eeditor. 000807203 7001_ $$aInoue, Haruhiro,$$ewriter of introduction. 000807203 77608 $$iPrint version:$$tPer oral endoscopic myotomy (POEM).$$dCham, Switzerland : Springer, [2017]$$z331950049X$$z9783319500492$$w(OCoLC)962016809 000807203 852__ $$bebk 000807203 85640 $$3SpringerLink$$uhttps://univsouthin.idm.oclc.org/login?url=http://link.springer.com/10.1007/978-3-319-50051-5$$zOnline Access$$91397441.1 000807203 909CO $$ooai:library.usi.edu:807203$$pGLOBAL_SET 000807203 980__ $$aEBOOK 000807203 980__ $$aBIB 000807203 982__ $$aEbook 000807203 983__ $$aOnline 000807203 994__ $$a92$$bISE