Post written by Amol Bapaye, MD (MS), MSGEI, FISG, FASGE, FJGES, from Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. The objective of this study was to perform a retrospective comparison of long-term (3-year) gastroesophageal reflux (GER) rates in a matched cohort of patients with achalasia cardia who underwent only peroral …
Tag: peroral endoscopic myotomy
Editor’s Choice: Long-term (3-year) composite gastroesophageal reflux outcomes of peroral endoscopic myotomy with or without concomitant endoscopic fundoplication in matched cohorts of achalasia
GIE Senior Associate Editor David L. Diehl, MD, highlights this article from the February issue: “Long-term (3-year) composite gastroesophageal reflux outcomes of peroral endoscopic myotomy with or without concomitant endoscopic fundoplication in matched cohorts of achalasia” by Amol Bapaye, MD (MS), MSGEI, FISG, FASGE, FJGES, et al. To POEM or to POEM + F? In recent years, most …
A novel anatomically guided strategy for evaluation of sufficient myotomy during peroral endoscopic myotomy in patients with achalasia
Post written by Ahmad Madkour, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Hassan Atalla, MD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, and Amr Elfouly, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt. We present a novel anatomically guided approach to assist experienced endoscopists in …
Coagulation forceps-sparing techniques for pre-emptive sealing of blood vessels during third-space endoscopy
Post written by Zaheer Nabi, MD, DNB, FASGE, FISG, FSGEI, from the Asian Institute of Gastroenterology, Hyderabad, India. This video presents a series of coagulation forceps-sparing techniques used during third-space endoscopy, including peroral endoscopic myotomy. Using various electrosurgical knife-based and bipolar coagulation methods, we demonstrate how large blood vessels encountered during submucosal dissection can be …
Repeat peroral endoscopic myotomy: technical difficulty and risk factors
Post written by Li-Yun Ma, MD, from the Endoscopy Center and Endoscopy Research Institute, Shanghai Collaborative Innovation Center of Endoscopy, Zhongshan Hospital, Fudan University, Shanghai, China. Repeat peroral endoscopic myotomy (Re-POEM) has appeared to be a promising salvage option for patients with persistent/recurrent symptoms after initial peroral endoscopic myotomy (POEM), but it may be more technical challenging. …
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Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum
Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This case involved a 53-year-old woman who presented with dysphagia, chest pain, cough, and vomiting. Diagnostic evaluation revealed a 9-cm epiphrenic diverticulum along with an underlying esophageal motility disorder. We successfully treated this rare and complex condition through …
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Open Zenker’s-peroral endoscopic myotomy: novel treatment for Zenker’s diverticulum
Post written by Kapil Sharma, DM, from the Department of Gastroenterology, Sarvodaya Hospital and Medical Research Centre, Faridabad, Haryana, India. We describe a novel approach to managing a case of absolute dysphagia caused by a large Zenker’s diverticulum (ZD) in an elderly man. The procedure, termed open Zenker’s-peroral endoscopic myotomy (OZ-POEM), incorporates submucosal tunneling to conduct cricopharyngeal …
Continue reading Open Zenker’s-peroral endoscopic myotomy: novel treatment for Zenker’s diverticulum
Peroral endoscopic myotomy plus natural orifice transluminal endoscopic wrap release for dysphagia after laparoscopic Heller myotomy and Dor fundoplication
Post written by Amol Bapaye, MD (MS), FASGE, FJGES, FISG, MSGEI, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. Our patient had a tight wrap after laparoscopic Heller myotomy and fundoplication for achalasia cardia. Repeat balloon dilatation of the lower esophageal sphincter had failed to provide adequate symptom response. …
Top tips for pneumatic dilation of the lower esophageal sphincter (with video)
Post written by David L. Diehl, MD, FASGE, AGAF, FACP, from the Department of Gastroenterology and Hepatology, Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA. Although pneumatic dilation (PD) of the lower esophageal sphincter has had a long—and successful—history of use in the management of achalasia and related disorders, the advent of peroral endoscopic …
Continue reading Top tips for pneumatic dilation of the lower esophageal sphincter (with video)
Peroral endoscopic myotomy with diverticulotomy using a double tunnel technique: finding your way to an elusive lower esophageal sphincter in spastic achalasia and epiphrenic diverticulum
Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our case is that of an 86-year-old woman with a history of achalasia and symptomatic epiphrenic diverticulum (ED) who was referred for peroral endoscopic myotomy (POEM) with simultaneous diverticulotomy. Endoscopy revealed a large ED and an …
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