Original Title: Miotomía Esofágica Endoscópica (POEM) en acalasia

Authors' recommendations: Low-quality evidence suggests that the surgical technique Per-Oral Endoscopic Myotomy (POEM) might be safe to treat achalasia and, when compared with laparoscopic Heller myotomy, it would minimally improve dysphagia and symptoms of achalasia at short and mid-term measured by the Eckardt clinical scoring system. Most of the clinical practice guidelines on diagnosis and treatment of achalasia surveyed, mention POEM as another therapeutic alternative for this condition, but they do not recommend it over other treatments. The American College of Gastroenterology clinical practice guideline considers this surgical technique, but it should only be used in the context of research, as it is at experimental stage and it recommends the use of other procedures for the therapeutic Management of achalasia. Public funders of Latin America surveyed do not mention the use of this technology in patients with achalasia in their coverage packages. The United States public funder and the health private funders surveyed do not cover this technology as they consider it at experimental stage. No studies assessing the cost-effectiveness of this technology in Argentina have been found.

Project Status: Completed

Year Published: 2019

URL for published report: https://www.iecs.org.ar/home-ets/

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Argentina

Organisation Name: Institute for Clinical Effectiveness and Health Policy

Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA

Contact Name: info@iecs.org.ar

Contact Email: info@iecs.org.ar

Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)