Acquiring new complex endoscopic skills: experience from the development of peroral endoscopic myotomy (POEM) in Malaysia

Ho, Shiaw Hooi and Nik Muhamad Affendi, Nik Arsyad and Lau, Peng Choong and Jamaludin, Fadhil and Mahadeva, Sanjiv (2021) Acquiring new complex endoscopic skills: experience from the development of peroral endoscopic myotomy (POEM) in Malaysia. JGH Open, 5 (7). pp. 729-733. E-ISSN 2397-9070

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Abstract

Peroral endoscopic myotomy (POEM) has rapidly gained popularity as an effective treatment modality for achalasia. However, POEM services in the South East Asian region are not widely available due to either a lack of expertise or interest. In this article, we describe how a POEM service can be developed through a combination of networking with regional experts, having prior experience of endoscopic submucosal dissection (ESD), attending animal model workshops, collaborating with upper gastrointestinal surgeons, and working together in a multidisciplinary team. A total of 68 POEM procedures have been performed since 2015, with a 94.1% technical and 93.4% clinical success rate, and a 21.5% minor complication rate. We believe that our model may be useful for other Endoscopy Units in the region, which are performing advanced therapeutic endoscopy, to develop a POEM service too.

Item Type:	Article (Journal)
Additional Information:	8156/91851
Uncontrolled Keywords:	amoxicillin; dabigatran; dexamethasone; metoclopramide; ondansetron; parecoxib; proton pump inhibitor
Subjects:	R Medicine > RC Internal medicine > RC803 Specialties of Internal Medicine-Diseases of The Digestive System. Gastroenterology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Nik Arsyad Nik Muhamad Affendi
Date Deposited:	31 Aug 2021 20:11
Last Modified:	31 Aug 2021 20:11
URI:	http://irep.iium.edu.my/id/eprint/91851

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