Post written by Baha Fawwaz, MD, from Gastroenterology and Hepatology, AdventHealth, Orlando, Florida, USA. Opioids have become one of the most widely prescribed medications in the United States. Chronic opioid use has been associated with esophageal dysmotility. The focus of our study was to evaluate and compare the clinical outcomes of peroral endoscopic myotomy (POEM) for …
Tag: peroral endoscopic myotomy
Peroral endoscopic septotomy for Zenker’s diverticulum with additional cut of mucosal flap: step by step
Post written by Harold Benites-Goñi, MD, from San Ignacio de Loyola University and Edgardo Rebagliati Martins National Hospital, Lima, Perú. The final goal of treatment of Zenker’s diverticulum is cutting the cricopharyngeal muscle to eliminate the septum. In our video, we show a variant of peroral endoscopic myotomy for the management of Zenker’s diverticulum. This case …
Defining “true acid reflux” after peroral endoscopic myotomy for achalasia: a prospective cohort study
Post written by Aniruddha Pratap Singh, MD, DM, Neeraj Singla, MD, DM, Ekant Budhwani, MD, Wladyslaw Januszewicz, MD, PhD, Zaheer Nabi, MD, DNB, Nitin Jagtap, MD, DNB, Rakesh Kalapala, MD, DNB, Sundeep Lakhtakia, MD, DM, Santosh Darisetty, DA, Sana Fathima Memon, MBA, Duvuur Nageshwar Reddy, MD, DM, and Mohan Ramchandani, MD, DM, from the Asian Institute …
Modified gastric-peroral endoscopic myotomy with sleeve release in a case of severe gastric sleeve stenosis
Post written by Syed Hamaad Rahman, DO, from Methodist Dallas Medical Center, Dallas, Texas, USA. We describe the case of a 26-year-old woman who had undergone laparoscopic sleeve gastrectomy (LSG) and presented with severe intolerance of oral intake, reflux, and weight loss. She was found to have stenosis of the gastric sleeve with presence of a …
Peroral endoscopic myotomy for a pediatric case of suspected congenital esophageal stenosis
Post written by Hirofumi Abe, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. We present an extremely rare case that was highly suspicious for congenital esophageal stenosis (CES) and successfully treated with modified peroral endoscopic myotomy (POEM). The patient was a 5-year-old girl with …
Long-term outcomes (≥3 years) after gastric peroral endoscopic myotomy for refractory gastroparesis: a systematic review and meta-analysis
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. Refractory gastroparesis is a chronic debilitating condition that results in decreased quality of life, weight loss/malnutrition, and increased healthcare costs. Medical options with prokinetic agents are often limited, and intrapyloric botulinum toxin injection has …
Use of an adapted bronchoscope for peroral endoscopic myotomy in a pediatric patient weighing less than 10 kg
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. In this video case presentation, we illustrate a compelling clinical scenario involving an underweight 2-year-old girl who presented with a confirmed diagnosis of achalasia. In a noteworthy facet, parental refusal for surgical intervention prompted the consideration of an alternative endoscopic …
Aberrant placement of functional lumen imaging probe into mediastinum during peroral endoscopic myotomy
Post written by Yusuke Fujiyoshi, MD, and Christopher Teshima, MD, MSc, PhD, from the Advanced Therapeutic Endoscopy Centre, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We experienced a peroral endoscopic myotomy (POEM) case in which the EndoFLIP (Medtronic, Inc, Shoreview, Minn, USA) catheter was inserted into the submucosal tunnel and inflated into the mediastinum, …
Gastric peroral endoscopic myotomy for management of refractory gastroparesis in patients with gastric neurostimulator devices: a multicenter retrospective case control study
Post written by Cyrus R. Piraka, MD, FASGE, from the Henry Ford Health System, Detroit, Michigan, USA. This study explores whether gastric peroral endoscopic myotomy (G-POEM) could serve as salvage therapy for refractory gastroparesis in patients who had a gastric neurostimulator (GNS) implanted. It was designed as a multicenter, retrospective, 1:2-matched case-control study comparing outcomes …
Tunneling-free peroral endoscopic septotomy for Zenker diverticulum
Post written by Maria Manuela Estevinho, MD, and Rolando Pinho, MD, from the Department of Gastroenterology, Vila Nova de Gaia Espinho Hospital Center, Vila Nova de Gaia, Portugal. We report on a modified Zenker peroral endoscopic myotomy (Z-POEM) technique (tunneling-free) that was carried out on 4 patients. Initially, a mucosal incision was made over the septum …
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