ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding (Day One) | March 2025-Third-space Endoscopy: POEM and G-POEM

Video Transcription

Video Summary

The video delves into POM (Peroral Endoscopic Myotomy) and GPOM (Gastric Peroral Endoscopic Myotomy) procedures, focusing on their clinical implications, particularly for APPs (Advanced Practice Providers). POM is used for treating achalasia by targeting the lower esophageal sphincter, while GPOM addresses gastroparesis by targeting the pylorus. Both are minimally invasive procedures and offer effective treatment for these conditions.<br /><br />Achalasia is characterized by difficulties with the lower esophageal sphincter failing to relax, leading to symptoms like dysphagia and chest pain. Diagnosis mainly uses high-resolution manometry, and POM shows strong efficacy, especially for Type 3 achalasia.<br /><br />For GPOM, gastroparesis involves delayed gastric emptying without obstruction. Candidates for GPOM should ideally have failed medication management. Both procedures have a reasonable safety profile, with low significant adverse event rates. APPs play a crucial role in pre- and post-procedure care and counseling, ensuring patients understand potential outcomes and follow-up protocols.

Asset Subtitle

Katelyn Cookson, PA-C

Keywords

POM

GPOM

achalasia

gastroparesis

advanced practice providers