ASGE DDW Videos from Around the World | 2024-PER ORAL ENDOSCOPIC MYOTOMY POEM PLUS ENDOSCOPIC RELEASE OF TIGHT FUNDOPLICATION WRAP FOR RECCURENT DYSPHAGIA AFTER LAPAROSCOPIC HELLER MYOTOMY LHM PLUS DOR FUNDOPLICATION FOR ACHALASIA

PER ORAL ENDOSCOPIC MYOTOMY POEM PLUS ENDOSCOPIC RELEASE OF TIGHT FUNDOPLICATION WRAP FOR RECCURENT DYSPHAGIA AFTER LAPAROSCOPIC HELLER MYOTOMY LHM PLUS DOR FUNDOPLICATION FOR ACHALASIA

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Video Transcription

Video Summary

A 61-year-old man with recurrent dysphagia post-surgery for achalasia underwent OM plus endoscopic release of a tight fundoplication wrap. Previous treatments included laparoscopic hellermyotomy, balloon dilation, and a failed fundoplication. The endoscopic procedure involved identifying and dividing wrap sutures, dissecting adhesions, and releasing the fundus from the diaphragm and liver. The patient recovered well, with follow-up tests showing improved barium flow and an open esophagus. The technique showcased precise dissection and successful wrap release, providing an effective solution for post-surgical dysphagia. Symptoms of recurrent achalasia and a tight wrap should both be considered for a comprehensive treatment approach.

Asset Subtitle

Video Plenary
Amol Bapaye

Keywords

dysphagia

achalasia

endoscopic release

fundoplication wrap

laparoscopic hellermyotomy