Post written by Marc Julius Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, and the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, Philippines. In this video, we highlight how the “Loop-10” line-assisted clip closure method presented to be a feasible and effective method in achieving …
Tag: peroral endoscopic myotomy
Modified technique of peroral endoscopic myotomy using transnasal ultra-slim gastroscope in a child with achalasia cardia
Post written by Amol Bapaye, MD, FASGE, FJGES, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. An 18-month female child presented with failure to thrive and regurgitation for 1 year. She was diagnosed with type II achalasia cardia on high-resolution manometry, and peroral endoscopic myotomy (POEM) was planned. …
Evolution and evidence-based adaptations in techniques for peroral endoscopic myotomy for achalasia
Post written by Eric E. Low, MD, MPH, and Rena Yadlapati, MD, MSHS, from the Division of Gastroenterology, University of California San Diego, San Diego, California, USA. Achalasia is the most well-characterized esophageal motility disorder largely because of evolving diagnostic tools and physiologic research that have been developed over the last 2 decades. With the …
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 …
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 …
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 …
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 …
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 …
endoscopedia.com 