Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. We present a case series of 3 patients with helical stenosis after surgical sleeve gastrectomy treated with modified gastric peroral endoscopic myotomy (G-POEM) as the initial approach. All patients in this series underwent under-saline tunneling, which facilitated navigation through a swirling, challenging submucosal (SM) …
Tag: peroral endoscopic myotomy
Editor’s Choice: Economic impact and utilization trends of peroral endoscopic myotomy and endoscopic submucosal dissection
GIE Associate Editor Edward C. Villa, MD, FASGE, FACG, AGAF, highlights this article from the June issue: “Economic impact and utilization trends of peroral endoscopic myotomy and endoscopic submucosal dissection” by Julietta Gervase, BA, et al. For anyone looking into expanding into “the realm of the third space,” system challenges and waning administrative support and implementation because of cost considerations …
Safety and efficacy of same-day discharge after gastric peroral endoscopic myotomy for gastroparesis: a systematic review and meta-analysis
Post written by Aamir Saeed, MD, from the University of Tennessee Health Sciences Center, Memphis, Tennessee, Faisal Kamal, MD, from the Division of Gastroenterology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Mark Radlinski, MD, from the Division of Gastroenterology, Vanderbilt University Medical Center, Nashville, Tennessee, and Sultan Mahmood, MD, from the Division of Gastroenterology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. We aimed …
Endoscopic esophageal reconstruction in epiphrenic diverticulum: septotomy-free diverticulectomy and suturing
Post written by Fatih Aslan, MD, from Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. The procedure was performed with the patient under general anesthesia using a standard gastroscope. A submucosal tunneling approach was initiated proximal to the diverticulum. The surrounding tissue was carefully dissected, allowing the diverticulum to be mobilized into the lumen and subsequently inverted. After …
Peroral endoscopic myotomy for esophageal motility disorders
Post written by Mark Solinski, MD, and Aziz Aadam, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University, Chicago, Illinois, USA. Our video was designed to educate patients about peroral endoscopic myotomy (POEM). In the video, we walk viewers through the indications and contraindications, provide a detailed procedural description, and explain postprocedural expectations. We believe a …
Continue reading Peroral endoscopic myotomy for esophageal motility disorders
Clinical impact of routine esophagram after peroral endoscopic myotomy: a systematic review and meta-analysis
Post written by Ernesto Robalino Gonzaga, MD, from the University of Pennsylvania, Philadelphia, Pennsylvania, and Gastroenterology, AdventHealth Medical Group, Orlando, Florida, Saurabh Chandan, MD, from Houston Methodist West Hospital, Houston, Texas, USA, and the Center for Interventional Endoscopy, AdventHealth, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth. Our study evaluates whether a routine esophagram after peroral endoscopic myotomy (POEM) …
Long-term (3-year) composite gastroesophageal reflux outcomes of peroral endoscopic myotomy with or without concomitant endoscopic fundoplication in matched cohorts of achalasia
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 …
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 …
endoscopedia.com 