ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: LIVE and Virtual | July 2022-Yang ASGE POEM Referral Practice

Yang ASGE POEM Referral Practice

Pdf Summary

This document provides guidance on setting up a Peroral Endoscopic Myotomy (POEM) referral practice. It emphasizes the importance of institutional support, training, and developing a team. The need for POEM should be identified and demonstrated, with administrative support and resources allocated accordingly. Training should include cognitive and technical aspects, as well as hands-on experience under proctorship. Keeping track of training records is essential. Credentialing and privileging processes vary between institutions, with no established criteria for certification by GI societies. Getting "buy-in" from colleagues and establishing allies is crucial. Referrals should be managed through an easy and efficient system, with support for prompt patient care. Engaging with referring physicians through various methods is recommended. The referral process should involve reviewing the case, coordinating necessary studies, scheduling preprocedure clinics, and discussing expectations with the patient. Billing and coding should be anticipated, considering the potential reluctance of payers to cover new procedures. Setting up the endoscopy unit for POEM requires standardized protocols, training sessions, intraprocedure monitoring, and pain management. Postoperative care, including updates to the referring physician and clinic follow-up, is important. The aftermath of a POEM procedure involves phone calls to assess symptoms and adverse events, providing education and assistance, and surveillance for post-POEM reflux. The summary provides tips such as being involved in pre and post-care, making it easy for referring physicians, practicing together, and ensuring ongoing institutional support and resources to provide high-quality care and patient satisfaction.

Keywords

Peroral Endoscopic Myotomy

POEM referral practice

institutional support

training

team development

administrative support

resources allocation

cognitive training

technical training

hands-on experience