ASGE DDW Videos from Around the World | 2023-BURIED MUCOSAL INCISION SITE DURING POEM PROCEDURE GIVING FALSE SENSE OF SECURITY

BURIED MUCOSAL INCISION SITE DURING POEM PROCEDURE GIVING FALSE SENSE OF SECURITY

Video Transcription

Video Summary

In this video, the speaker discusses a rarely reported complication of the POEM (peroral endoscopic myotomy) procedure called buried mucosal incision site. The speaker describes a case study of a 33-year-old female who underwent the procedure and experienced difficulty during the closure of the mucosal incision site, resulting in the edges not being properly approximated. On day 2, the patient developed tachycardia and fever, indicating a potential infection in the submucosal tunnel. Repeat endoscopy revealed a buried mucosal incision site with pus collection. The clips were removed, the pus was drained, and the mucosal incision was widened. The patient eventually healed without further complications. The video emphasizes the importance of secure closure of the mucosa in the POEM procedure to prevent such complications and highlights the need for close monitoring and timely management. No credits were mentioned in the video.

Asset Subtitle

Honorable Mention

Keywords

POEM procedure

buried mucosal incision site

complications

closure difficulties

infection