Post written by Amol Bapaye, MD, FASGE, FJGES, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. An 18-month female child presented with failure to thrive and regurgitation for 1 year. She was diagnosed with type II achalasia cardia on high-resolution manometry, and peroral endoscopic myotomy (POEM) was planned. …
Tag: achalasia
Evolution and evidence-based adaptations in techniques for peroral endoscopic myotomy for achalasia
Post written by Eric E. Low, MD, MPH, and Rena Yadlapati, MD, MSHS, from the Division of Gastroenterology, University of California San Diego, San Diego, California, USA. Achalasia is the most well-characterized esophageal motility disorder largely because of evolving diagnostic tools and physiologic research that have been developed over the last 2 decades. With the …
Leiomyomatosis masquerading as sigmoid achalasia: a rare occurrence
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we performed peroral endoscopic myotomy in a young man diagnosed with sigmoid achalasia based on endoscopy, esophageal manometry, and barium swallow. During submucosal tunneling, a submucosal lesion was identified. Despite extensive dissection, the margins of the submucosal …
Continue reading Leiomyomatosis masquerading as sigmoid achalasia: a rare occurrence
Peroral endoscopic myotomy for achalasia: a prospective multicenter study in Japan
Post written by Hironari Shiwaku, MD, PhD, from the Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. Peroral endoscopic myotomy (POEM) is a standard treatment for achalasia. The reported efficacy of POEM in the prospective multicenter study by Dr Von Renteln's group was 82%. However, a retrospective multicenter study in Japan reported …
Continue reading Peroral endoscopic myotomy for achalasia: a prospective multicenter study in Japan
A risk-scoring system to predict clinical failure for patients with achalasia after peroral endoscopic myotomy
Post written by Ping-Hong Zhou, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. As a novel treatment approach for achalasia, POEM has achieved satisfactory long-term effectiveness. However, there are still around 10% of patients facing treatment failure, and there are currently no clinical predictive rules that could characterize …
Use of multiple covered metal esophageal stents for treatment of Boerhaave syndrome in achalasia
Post written by Theodore W. James, MD, MSc, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We describe the case of a 95-year old-woman with known achalasia who presented after vomiting forcefully and developing a perforation of the esophagus, also known as Boerhaave syndrome. In most scenarios, …
Vicryl patch and fibrin glue as treatment of an esophageal leak
Maria Sylvia Ierardi Ribeiro, MD, Renata A.F.P. de Barros, MD, and Michael B. Wallace, MD, MPH describe this VideoGIE case "Vicryl patch and fibrin glue as treatment of an esophageal leak." Achalasia is a motility disorder associated with degeneration of neurons in the wall of the esophagus. It is characterized by failure of relaxation of …
Continue reading Vicryl patch and fibrin glue as treatment of an esophageal leak
Optical coherence tomography after POEM
Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA presents this video case "Endoscopic optical coherence tomography as a tool to evaluate successful myotomy after a peroral endoscopic myotomy." This case describes a 51-year-old woman with achalasia who underwent a per-oral endoscopic myotomy (POEM) with complete resolution of her symptoms …
Salvage posterior POEM
Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Salvage posterior peroral endoscopic myotomy." Peroral endoscopic myotomy (POEM) is a highly efficacious endoscopic treatment for achalasia. In this video, we present a patient who had an incomplete clinical …
Transoral incisionless fundoplication
Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Transoral incisionless fundoplication for treatment of refractory GERD after peroral endoscopic myotomy." Medical management of gastroesophageal reflux disease with proton pump inhibitors is effective in 70-80% of patients. For …
endoscopedia.com 