Per-Oral Endoscopy Tunneling (POET) steps 1-6. AE = antegrade endoscope, SM = submucosa, Mus = muscle, M = mucosa, CEO = complete esophageal obstruction, RE = retrograde endoscope, GW = guidewire
Per-Oral Endoscopy Myotomy (POEM) - Step 1. M= mucosa, SM = submucosa, CM = circular muscle, LM = longitudinal muscle
POEM - step 2
POEM - step 3
POEM - step 4
POEM - step 5
Alternative assembled figure with photographs. Final published version split each into it's own figure and increased size of the diagrams with photographs underneath.
Surgical diagrams illustrating the per-oral endoscopy tunneling (POET) and per-oral endoscopy myotomy (POEM) procedures.
POET diagram published in (MS Wagh, PV Draganov, Gastrointestinal endoscopy 85 (4), 722-727).
POEM diagrams published in (C Mittal, MS Wagh, American Journal of Gastroenterology 112 (11), 1627-1631).
Photographs courtesy of Dr. Mihir Wagh, M.D.
