Saudi Arabia's gastroenterology society lays out its official playbook for POEM in achalasia.
Resheed Alkhiari, Majid A. Almadi, Fahad Alsohaibani, et al.
This document presents the Saudi Gastroenterology Association's clinical care pathway for per-oral endoscopic myotomy in achalasia, covering patient selection, procedural technique, and pre- and post-procedure follow-up. It also sets training and privileging requirements for endoscopists and defines quality metrics for ongoing performance monitoring. The goal is to standardize practice nationally as POEM adoption grows, ensuring consistent safety and outcomes.
- The question: As this procedure spreads across the Kingdom, how do we keep quality consistent between centers?
- The study: The pathway guides care across three phases, before, during, and after the procedure, from patient selection to follow-up.
- The finding: It also sets training and privileging requirements for endoscopists, and quality metrics for ongoing performance monitoring.
- The nuance: Together, these give centers a shared national standard for monitoring and improving quality.
Takeaway: Clear national standards for selection, training, and quality keep POEM safe and consistent as adoption grows.
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