“Posterior-like” anterior per-oral endoscopic myotomy

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. Endoscopists are free to choose between anterior of posterior based on their preference. Recent data illustrate that posterior POEM is faster and less prone to mucosal injuries. Conversely, some studies have associated anterior POEM with less post-myotomy acid reflux. We …

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Clinical and endoscopic predictors for intraprocedural mucosal injury during per-oral endoscopic myotomy

Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. We aimed to explore the characteristics, predictors, and management approaches of intraprocedural mucosal injury. As the mucosal flap is the only barrier between the mediastinum and esophageal lumen during per-oral endoscopic myotomy (POEM), mucosal …

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Submucosal per-oral endoscopic myotomy for a large Zenker’s diverticulum

Post written by Valerio Balassone, MD, PhD, from the Universita Campus Bio-Medico di Roma, Rome, Italy. This is a preliminary experience with an innovative technique to treat large Zenker’s diverticulum. It demonstrates innovative tools and techniques to separate the mucosa from the septum in order to achieve a complete septum division without the concern of …

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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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