ASGE DDW Videos from Around the World | 2024-Z POEM USING BIPOLAR RADIOFREQUENCY AND MICROWAVE ENERGY DEVICE IN A PARKINSONS PATIENT WITH DEEP BRAIN STIMULATOR IMPLANT

Z POEM USING BIPOLAR RADIOFREQUENCY AND MICROWAVE ENERGY DEVICE IN A PARKINSONS PATIENT WITH DEEP BRAIN STIMULATOR IMPLANT

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Video Transcription

Video Summary

The video demonstrates a Z-POEM procedure using a bipolar radiofrequency and high-frequency microwave coagulation energy platform in a Parkinson's patient with a deep brain stimulator implant. The patient presented with dysphagia, regurgitation, and recurrent cough, and was found to have a Zenker's diverticulum. Due to the contraindication of using monopolar diathermy devices with the deep brain stimulator, a novel bipolar device was used successfully. The procedure involved dissection, coagulation, and injection with the device, leading to reduced cough symptoms and discharge on postoperative day 4. The unique features of the bipolar microwave energy device helped in conducting the delicate procedure effectively.

Asset Subtitle

Amol Bapaye

Meta Tag

Concept Peroral Endoscopic Myotomy

Concept Zenker Diverticulum

Concept Deep Brain Stimulator

Concept Monopolar Diathermy

Concept Submucosal Injection

Keywords

Z-POEM procedure

bipolar radiofrequency

high-frequency microwave coagulation

Parkinson's patient

deep brain stimulator implant

Peroral Endoscopic Myotomy

Zenker Diverticulum

Deep Brain Stimulator

Monopolar Diathermy

Submucosal Injection