Review
Copyright ©The Author(s) 2016.
World J Gastrointest Endosc. Jan 25, 2016; 8(2): 86-103
Published online Jan 25, 2016. doi: 10.4253/wjge.v8.i2.86
Table 7 Advantages and disadvantages of peroral endoscopic tumor resection vs surgery
Advantages of POET
POETSurgical myotomy
Minimally invasive methodInvasive (major surgery)
HospitalizationLess hospitalization (1-5 d)Longer hospitalization > 5 d
Specimen for complete histology possible
Does not preclude surgery
Elderly patientsEffective in elderly with comorbidities and contraindications (only specialized centers)Contra indication for surgery
CostLower hospitalization and lower costHigher cost in combination to surgical procedure
Disadvantages of POET
POETSurgery
Follow-upShort follow-up (novel technique)Longer follow-up
POEMPOET restricted to specialized centersCommon surgical or laparoscopic procedure overall available
TrainingDifficult (only few centers worldwide)Overall available
OutcomeComplete curable resection may be not possible in malignant GIST casesComplete resection possible