ASGE DDW Videos from Around the World | 2024-DOUBLE TUNNEL DPOEM TECHNIQUE: FINDING YOUR WAY TO A DIFFICULT TO LOCATE LOWER ESOPHAGEAL SPHINCTER IN SPASTIC ACHALASIA AND EPIPHRENIC DIVERTICULUM

DOUBLE TUNNEL DPOEM TECHNIQUE: FINDING YOUR WAY TO A DIFFICULT TO LOCATE LOWER ESOPHAGEAL SPHINCTER IN SPASTIC ACHALASIA AND EPIPHRENIC DIVERTICULUM

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Video Transcription

Video Summary

A video discusses a case of spastic achalasia with a large symptomatic epiphrenic diverticulum (ED) and a difficult-to-locate lower esophageal sphincter. The patient, an 86-year-old woman, underwent a double tunnel dPOEM technique, a minimally invasive alternative to surgery. The procedure involved identifying and dilating the sphincter, creating tunnels for myotomy, and closing incisions. The patient recovered well, showing improvement in symptoms and no adverse events at follow-up. The video emphasizes dPOEM's efficacy in treating ED and achalasia but notes the need for further research on the optimal technique. This case illustrates the successful use of dPOEM and double tunneling in a challenging scenario.<br /><br />Add Author Abstract Details.

Asset Subtitle

Video Plenary
Dennis Yang

Keywords

spastic achalasia

epiphrenic diverticulum

lower esophageal sphincter

double tunnel dPOEM technique

minimally invasive procedure