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 …

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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, …

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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 …

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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 …

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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 …

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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 …

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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 …

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