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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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 …

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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 …

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