Tu1354 PerOral Endoscopic Myotomy (POEM) Is Equivalent to Laparoscopic Heller Myotomy (Lhm) for the Treatment of Achalasia

Laparoscopic Heller myotomy (LHM) is the gold standard surgical therapy for achalasia. Recently, a growing body of evidence suggests that peroral endoscopic myotomy (POEM) may be a less invasive alternative. Evolution in endoscope design and accessories has allowed technically difficult procedures such as POEM to be performed outside the operating theatre. There is still no consensus as to which of these two therapies has the greatest efficacy and safety in the management of achalasia. Additionally, there is no data on the relative cost of POEM in the endoscopy unit versus LHM in the operating theatre.