Intraprocedural fluoroscopy with POEM

Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this New Methods article "Intraprocedural fluoroscopy to determine the extent of the cardiomyotomy during per-oral endoscopic myotomy (with video)." One of the major technical challenges in performing per-oral endoscopic myotomy …

Continue reading Intraprocedural fluoroscopy with POEM

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 …

Continue reading Optical coherence tomography after POEM

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 …

Continue reading Salvage posterior POEM

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 …

Continue reading Transoral incisionless fundoplication

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 …

Continue reading Chest CT in the management of post-POEM achalasia

Endoscopic full-thickness resection for GI stromal tumors

Stavros N. Stavropoulos, MD and colleagues present this video case titled "Endoscopic full-thickness resection for GI stromal tumors" from the VideoGIE section. Our video demonstrates endoscopic en bloc complete resection of a 4 cm gastric GI stromal tumor (GIST) with a substrantial 2 cm extraluminal component extending into the peritoneal cavity. In this elderly patient …

Continue reading Endoscopic full-thickness resection for GI stromal tumors

4-step approach to POEM

Payal Saxena, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology at Johns Hopkins Hospital in Baltimore, Maryland presents this video case titled "Peroral endoscopic myotomy: a 4-step approach to a challenging procedure" from the VideoGIE section. Our video demonstrates the techniques for performing each of the 4 steps of POEM, which are …

Continue reading 4-step approach to POEM