POEM: Why It's Performed

Peroral endoscopic myotomy (POEM) is to treat the following disease:

• Achalasia
• Spastic esophageal disorders not responding to medical therapies (e.g., diffuse esophageal spam, nutcracker esophagus 

The capabilities of interventional gastrointestinal endoscopy have significantly increased over the past several decades. Improvements in devices and techniques have eased the transfer of novel concepts from bench to bedside. The concept of submucosal endoscopy with mucosal flap safety valve has enabled endoscopists to securely use submucosal space, or third space. Peroral endoscopic myotomy was the initial procedure performed utilizing submucosal space in patients with achalasia. Subsequently, this technique has been used successfully for removal of subepithelial tumors from the esophagus and the stomach. All third-space endoscopy procedures use a similar technique—a submucosal tunnel is created, and then a myotomy is performed or a subepithelial tumor is dissected away from the initial site of the mucosal incision. The other potential indications for third-space endoscopy include refractory gastroparesis, Zenker diverticulum, and restoration of completely obstructed esophageal lumen. Although the emerging data look promising for peroral endoscopic myotomy and pyloromyotomy, randomized studies with long-term follow-up are lacking. Submucosal endoscopy is largely safe, and the occurrence of major adverse events is uncommon. Therefore, the majority of third-space endoscopy procedures can be performed in an endoscopy suite. The most frequently encountered adverse events during submucosal endoscopy include those related to insufflation, bleeding, and perforations.

Upon completion of this educational activity, participants will be able to:

1. Identify the benefits of POEM for Achalasia and other esophagogastric motility disorder
2. Differentiate types of esophageal motility disorder
3. Demonstrate basic techniques for submucosal tunneling and intervention
4. Demonstrate proper techniques of myotomy

Who Should Participate?

Designed for advanced GI endoscopists, surgeons, and others in the GI field who are interested in learning the most advanced technique in POEM/submucosal endoscopy.

Course Directors

Norio Fukami, MD, FASGE 
Mayo Clinic
Scottsdale, AZ

Haruhiro Inoue, MD, PhD, FASGE
Showa University Koto Toyosu Hospital
Tokyo, Japan

Invited Faculty

Japan Faculty

Manabu Onimaru, MD
Showa University Koto Toyosu Hospital
Tokyo, Japan

Yuto Shimamura, MD
Showa University Koto Toyosu Hospital
Tokyo, Japan

Hironari Shiwaku, MD, PhD, FASGE
Fukuoka University Faculty of Medicine
Fukuoka, Japan

Mayo Tanabe, MD
Showa University Koto Toyosu Hospital
Tokyo, Japan

Akiko Toshimori, MD
Showa University Koto Toyosu Hospital
Tokyo, Japan

US Faculty

Aziz Aadam, MD
Northwestern Memorial Faculty Foundation
Chicago, IL

Robert Bechara, MD
Queens University
Kingston, Ontario
CANADA

Qiang Cai, MD, PhD, FASGE
Emory University School of Medicine
Atlanta, GA

Peter V. Draganov, MD, FASGE
University of Florida College of Medicine
Gainesville, FL

Kevin L. Grimes, MD
University of Cincinnati College of Medicine
Cincinnati, OH

Michel Kahaleh, MD, FASGE
Rutgers Robert Wood Johnson Medical Center
Brunswick, NJ

Amrita Sethi, MD, FASGE
Columbia University Medical Center New York Presbyterian
New York, NY

Ashish Sharma, MD
Lutheran Medical Group Gastroenterology
Fort Wayne, IN

Stavros N. Stavropoulos, MD, FASGE
Winthrop University Hospital
Mineola, NY

Lee L. Swanstrom, MD, FASGE
IHU – Strasbourg
Portland, OR

Marcelo Vela, MD
Mayo Clinic Arizona
Scottsdale, AZ

Mihir S. Wagh, MD, FASGE
University of Colorado
Aurora, CO

Louis-Michel Wong Kee Song, MD, FASGE
Mayo Clinic
Rochester, MN

TWO WAYS TO PARTICIPATE!
In-person or simulcast (streaming via your own device.)
If you choose streaming, we will provide you with the log-in instructions prior to the course date.

Not an ASGE Member?
Save even more when you join ASGE prior to registering for the course. Visit www.asge.org/join to join today!

Four Easy Ways to Register

1. Online at www.asge.org (Recommended)
2. Phone: 1-630-573-0600
3. Fax: 1-630-963-8332
4. Mail: American Society for Gastrointestinal Endoscopy, PO Box 809055, Chicago, IL 60680-9055

For all registration inquiries, email ASGE Customer Care at info@asge.org or call 1-630-573-0600.

Register Online Now        Download Registration Form

Cancellation Policy

Request for refunds must be requested in writing, no later than two weeks prior to the course.  Refunds are subject to an administrative fee of $100.  Attendee substitutions are permitted with ASGE authorization. ASGE has the right to cancel a program at any time at its discretion.

Marriott Suites Downers Grove
1500 Opus Place
Downers Grove, IL 60515

1-630-852-1500 or 1.800-228-9290 (toll-free)

It is recommended that you make your hotel reservations as soon as possible. However, you may want to wait to make your airline reservations until you have received confirmation of registration from ASGE.

Room Rate: $119 per night (plus applicable taxes.) To make your room reservations, contact the hotel directly. In order to receive the discounted room rate, make your reservation on or before March 12, 2020, and be sure to mention “ASGE/JGES Masters Course.” Complimentary shuttle service between the hotel and ASGE will be available.

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

ASGE designates this live activity for a maximum of 13.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ASGE Assurance to High Level Scientific Evidence and Adherence to Neutrality: ASGE is committed to you, our learners. We are committed to assuring the highest level of scientific rigor, research-based evidence and practicality to clinical use is conveyed throughout this educational activity. Members who designed this educational activity are carefully selected for their content expertise, teaching excellence and neutrality on the topic(s) being presented. ASGE requires all subject matter experts, committee members and staff planners who are in a position to control any aspect of content to disclose all relevant financial relationships with any commercial interests. Financial relationships in any amount is considered a potential conflict of interest, is peer-reviewed and resolved according to ASGE’s Educational Conflict of Interest policy and procedure prior to the start of this program.  

HIPAA Accountability: ASGE makes every effort to not include individually identifiable health information in this educational activity. To protect patient privacy, faculty are requested to de-identify patient related material in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Educational Attributes: This ASGE educational program addresses the following desirable physician attribute(s) that align with ACGME/ABMS Competencies, Institute of Medicine Competencies and/or Interprofessional Education Collaborative Competencies: a) Medical Knowledge; b) Practice-Based Learning and Improvement; c) Provide Patient-Centered Care; and d) Employ Evidence-Based Practice.

ASGE’s Commitment to Our Learners: ASGE’s continuing medical education program consists of a diversified educational portfolio. Each educational activity serves to maintain, develop, or increase our learner’s knowledge, skill, and professional performance. It is our intention that you will be able to transfer this learning to the provision of services for your patients, the public and the endoscopy profession. Content developed for this educational activity is based upon a body of knowledge and skills generally recognized and accepted by the GI profession and ASGE’s standards of practice, the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public.

Photography Waiver
ASGE periodically takes photographs and/or video during our educational courses and events, and reproduces them in ASGE educational, news or promotional material, whether in print, electronic or other media, including the ASGE website. By participating in this course, you grant the right to use your name and photograph for such purposes to ASGE. All postings become the property of ASGE.

Educational programming through the ASGE Institute for Training and Technology is supported, in part, by the ASGE Foundation. To donate, visit www.asge.org/foundation

Industry representatives interested in attending this course must contact Vanita Jordan Moore, Senior Manager, Sales and Business Development (1-630-570-5625; Email: vmoore@asge.org) or Linda kay Tyler, Senior Director, Sales and Business Development (1-630-570-5601; Email ltyler@asge.org). In compliance with ACCME guidelines, industry representatives may not participate in hands-on training or ask questions during a CME course.

For all registration inquiries, contact ASGE Customer Care at info@asge.org or 1-630-573-0600 or contact education@asge.org.