POEM is a promising, effective and safe method of oesophageal achalasia treatment. It is likely that POEM will become a standard and verified treatment option for achalasia.
Randomized studies comparing POEM to laparoscopic myotomy or balloon dilatation are crucial and are ongoing. Since POEM is a complex and difficult procedure with a considerable risk of complications, and in view of the quite rare incidence of achalasia, it should be centralized to a maximum of two centres in the Czech Republic.
In IKEM, we have performed 47 POEM procedures in 46 patients with excellent results.