Tag: peroral endoscopic myotomy

Open Zenker’s-peroral endoscopic myotomy: novel treatment for Zenker’s diverticulum

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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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Peroral endoscopic myotomy plus natural orifice transluminal endoscopic wrap release for dysphagia after laparoscopic Heller myotomy and Dor fundoplication

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Post written by Amol Bapaye, MD (MS), FASGE, FJGES, FISG, MSGEI, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. Our patient had a tight wrap after laparoscopic Heller myotomy and fundoplication for achalasia cardia. Repeat balloon dilatation of the lower esophageal sphincter had failed to provide adequate symptom response. …

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Top tips for pneumatic dilation of the lower esophageal sphincter (with video)

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Post written by David L. Diehl, MD, FASGE, AGAF, FACP, from the Department of Gastroenterology and Hepatology, Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA. Although pneumatic dilation (PD) of the lower esophageal sphincter has had a long—and successful—history of use in the management of achalasia and related disorders, the advent of peroral endoscopic …

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Peroral endoscopic myotomy with diverticulotomy using a double tunnel technique: finding your way to an elusive lower esophageal sphincter in spastic achalasia and epiphrenic diverticulum

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Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our case is that of an 86-year-old woman with a history of achalasia and symptomatic epiphrenic diverticulum (ED) who was referred for peroral endoscopic myotomy (POEM) with simultaneous diverticulotomy. Endoscopy revealed a large ED and an …

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Peroral endoscopic myotomy for spastic esophageal dysmotility among opioid users: a multicenter propensity score matching study

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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 …

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Peroral endoscopic septotomy for Zenker’s diverticulum with additional cut of mucosal flap: step by step

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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 …

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Defining “true acid reflux” after peroral endoscopic myotomy for achalasia: a prospective cohort study

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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 …

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Modified gastric-peroral endoscopic myotomy with sleeve release in a case of severe gastric sleeve stenosis

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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 …

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Peroral endoscopic myotomy for a pediatric case of suspected congenital esophageal stenosis

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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 …

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Long-term outcomes (≥3 years) after gastric peroral endoscopic myotomy for refractory gastroparesis: a systematic review and meta-analysis

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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 …

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