Author commentary on Srinivas R. Puli et al.

Srinivas R. Puli et al. Learning curve for esophageal peroral endoscopic myotomy: a systematic review and meta-analysis

In this meta-analysis, 1904 patients were included from eight studies investigating the learning curve for peroral endoscopic myotomy (POEM). It was demonstrated that proficiency can be reached after 25 cases, with mean procedure time of 85 minutes. However, as all operators already had experience in performing endoscopic submucosal dissection (ESD), the skill set common to both ESD and POEM probably shortened the learning curve.

Publication History

Article published online:
29 March 2023