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 …

Continue reading Optical coherence tomography after POEM

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 …

Continue reading Salvage posterior POEM

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 …

Continue reading Transoral incisionless fundoplication

Chest CT in the management of post-POEM achalasia

Ming-Yan Cai, MD and Ping-Hong Zhou, MD, PhD from the Endoscopy Center at Zhongshan Hospital at Fudan University in Shanghai, China discuss their Original Article "Thoracic CT after peroral endoscopic myotomy for the treatment of achalasia."  The focus of this study was to analyze the value of routine postoperative computed tomography (CT) of the chest …

Continue reading Chest CT in the management of post-POEM achalasia

Transillumination auxiliary technique for POEM

Francisco Baldaque-Silva, MD from Centro Hospitalar de São João in Porto, Portugal presents this video case "New transillumination auxiliary technique for peroral endoscopic myotomy." In our experience, one of the most difficult steps of the peroral endoscopic myotomy (POEM) technique is the achievement of a proper tunnel length that will allow a safe and effective …

Continue reading Transillumination auxiliary technique for POEM

Aberrant innermost longitudinal muscle bundles at the esophagogastric junction during POEM

Nikolas Eleftheriadis, MD, and colleagues from the Digestive Disease Center at Showa University Northern Yokohama in Japan present this video case of an in vivo observation of aberrant innermost longitudinal muscle bundles in front of the circular muscle layer at the level of esophagogastric junction during peroral endoscopic myotomy (POEM). In this video case, we …

Continue reading Aberrant innermost longitudinal muscle bundles at the esophagogastric junction during POEM