ASGE DDW Videos from Around the World | 2023-THROUGH THE SCOPE SUTURING FOR CLOSURE OF A PERSISTENT ESOPHAGEAL LEAK AFTER CRICOPHARYNGEAL BAR PERORAL ENDOSCOPIC MYOTOMY

THROUGH THE SCOPE SUTURING FOR CLOSURE OF A PERSISTENT ESOPHAGEAL LEAK AFTER CRICOPHARYNGEAL BAR PERORAL ENDOSCOPIC MYOTOMY

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Video Transcription

Video Summary

The video discusses the use of through-the-scope suturing for the closure of a contained leak after cricopharyngeal peroral endoscopic myotomy (CPPOM). CPPOM is a safe and effective treatment for cricopharyngeal bar dysphagia, but persistent leaks after the procedure are rare complications. Closure of mucosal defects in the proximal esophagus and upper esophageal sphincter can be challenging. The video demonstrates the use of a novel through-the-scope suturing system, consisting of steel tacks and a propylene suture, to close the mucosal defects. The technique is successful in achieving adequate closure and resolving the leak, although it may cause some side effects like globus sensation.

Asset Subtitle

Honorable Mention

Keywords

through-the-scope suturing

contained leak closure

cricopharyngeal peroral endoscopic myotomy

mucosal defect closure

novel suturing system