Post written by Yusuke Fujiyoshi, MD, and Christopher Teshima, MD, MSc, PhD, from the Advanced Therapeutic Endoscopy Centre, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We experienced a peroral endoscopic myotomy (POEM) case in which the EndoFLIP (Medtronic, Inc, Shoreview, Minn, USA) catheter was inserted into the submucosal tunnel and inflated into the mediastinum, …
Tag: peroral endoscopic myotomy
Gastric peroral endoscopic myotomy for management of refractory gastroparesis in patients with gastric neurostimulator devices: a multicenter retrospective case control study
Post written by Cyrus R. Piraka, MD, FASGE, from the Henry Ford Health System, Detroit, Michigan, USA. This study explores whether gastric peroral endoscopic myotomy (G-POEM) could serve as salvage therapy for refractory gastroparesis in patients who had a gastric neurostimulator (GNS) implanted. It was designed as a multicenter, retrospective, 1:2-matched case-control study comparing outcomes …
Tunneling-free peroral endoscopic septotomy for Zenker diverticulum
Post written by Maria Manuela Estevinho, MD, and Rolando Pinho, MD, from the Department of Gastroenterology, Vila Nova de Gaia Espinho Hospital Center, Vila Nova de Gaia, Portugal. We report on a modified Zenker peroral endoscopic myotomy (Z-POEM) technique (tunneling-free) that was carried out on 4 patients. Initially, a mucosal incision was made over the septum …
Continue reading Tunneling-free peroral endoscopic septotomy for Zenker diverticulum
Comparing clinical success and procedural difficulty between treatment-naïve and treatment-refractory patients with esophageal motility disorders during peroral endoscopic myotomy
Post written by Raymond E. Kim, MD, from the University of Maryland School of Medicine, Baltimore, MD, USA. The primary focus of our study was to compare the difficulty and success rate of peroral endoscopic myotomy (POEM) in treatment-naïve cases versus treatment-refractory patients with esophageal motility disorders. There is a prevailing belief that treatment-refractory cases, which …
“Loop-10” line-assisted clip closure method: closure of perforation in re-do peroral endoscopic myotomy
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 …
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 …
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