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 …
Tag: peroral endoscopic myotomy
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 …
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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 …
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 …
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