ASGE DDW Videos from Around the World | 2025-INNOVATIVE FUNDOPLICATION TECHNIQUES IN PERORAL ENDOSCOPIC MYOTOMY WITH FUNDOPLICATION (POEM-F)

INNOVATIVE FUNDOPLICATION TECHNIQUES IN PERORAL ENDOSCOPIC MYOTOMY WITH FUNDOPLICATION (POEM-F)

Video Transcription

Video Summary

Paraural Endoscopic Myotomy with Fundoplication (POEM-F) is an emerging technique aimed at preventing gastroesophageal reflux post-POEM by using natural orifice transluminal endoscopic surgery combined with myotomy. After myotomy and dissection, the gastric fundus is retracted and secured with sutures or clips to create a wrap. Challenges with current devices, such as difficult passage and handling within the esophageal tunnel, highlight the potential of suture-based methods for better control and longevity. The procedure uses innovative anchoring and suturing techniques, though improvement with dedicated devices could enhance effectiveness.

Asset Subtitle

Mouen Khashab

Keywords

POEM-F

fundoplication

endoscopic surgery

suture-based methods

gastroesophageal reflux