Affiliation:
1. Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
Abstract
AbstractThe submucosal plane has become an increasingly utilized space to endoscopically approach and treat several diseases of the gastrointestinal tract. Submucosal tunneling was introduced as a concept jointly by both endoscopic submucosal dissection and per-oral endoscopic myotomy or (POEM). The enthusiasm for the latter technique has not only revolutionized the treatment of achalasia over the past two decades but also spurred the development of several procedural derivatives to treat a variety of diseases. This review will survey literature concerning submucosal tunneling endoscopy from 2008, when the first POEM was reported, to today.