Peroral endoscopic fundoplication: a brand-new intervention for GERD
Akiko Toshimori, Haruhiro Inoue, Yuto Shimamura, Mary Raina Angeli Abad, Manabu Onimaru
Abstract
Minimally invasive treatments are preferred in any field of medical treatment. Relevant to that, we started peroral endoscopic myotomy (POEM) in 20081 as a minimally invasive endoscopic treatment for achalasia and related motility disorders. Use of POEM has spread all over the world. However, the potential risk of developing GERD after POEM has been reported in multiple studies.2 Seeking to prevent post-POEM GERD, we conducted a pilot study on the effectiveness of POEM + fundoplication (POEM+F)3 as a natural-orifice transluminal endoscopic surgery procedure using submucosal endoscopy with the mucosal flap safety valve technique reported by Sumiyama et al.