Analysis of a Learning Curve and Predictors of Intraoperative Difficulty for Peroral Esophageal Myotomy (POEM)

@article{Teitelbaum2013AnalysisOA,
  title={Analysis of a Learning Curve and Predictors of Intraoperative Difficulty for Peroral Esophageal Myotomy (POEM)},
  author={Ezra N. Teitelbaum and Nathaniel J. Soper and Fahd O. Arafat and B. Fernando Santos and Peter J. Kahrilas and John E. Pandolfino and Eric S. Hungness},
  journal={Journal of Gastrointestinal Surgery},
  year={2013},
  volume={18},
  pages={92-99}
}
Peroral esophageal myotomy (POEM) is an endoscopic surgical operation for achalasia. Here, we analyze a single-series POEM learning curve and examine which preoperative patient factors are predictive of operative difficulty. Two surgeons performed all POEM procedures conjointly. Nonlinear regression was used to determine the learning curve for procedure time. Preoperative patient characteristics were correlated with outcomes. Thirty-six POEM procedures were performed. Total operative time did… CONTINUE READING

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