ASGE DDW Videos from Around the World | 2025-GUIDE TO ENDOSCOPE SELECTION FOR PERORAL ENDOSCOPIC MYOTOMY PROCEDURES

GUIDE TO ENDOSCOPE SELECTION FOR PERORAL ENDOSCOPIC MYOTOMY PROCEDURES

Video Transcription

Video Summary

The guide discusses the considerations for selecting endoscopes for Per-Oral Endoscopic Myotomy (POEM) procedures, emphasizing factors like distal outer diameter, accessory channel size and location, scope length, tip angulation, and ergonomics. Different vendors offer scopes with varying features. A 3.2mm channel allows superior suction, crucial during procedures with bleeding or fibrosis, but most diagnostic gastroscopes have a 2.8mm channel. Channel location affects knife efficiency, with positions like 6 o'clock often advantageous. Slim colonoscopes and intermediate-length scopes have specific pros and cons, and endoscopists may choose based on procedural needs and esophageal anatomy.

Asset Subtitle

Mark Kowalczyk

Keywords

endoscopes

POEM procedures

accessory channel

tip angulation

esophageal anatomy