ASGE DDW Videos from Around the World | 2025-MODIFIED POEM TECHNIQUE USING TAILORED BRONCHOSOPE IN 24-MONTH-OLD CHILD WITH ACHALASIA CARDIA

MODIFIED POEM TECHNIQUE USING TAILORED BRONCHOSOPE IN 24-MONTH-OLD CHILD WITH ACHALASIA CARDIA

Video Transcription

Video Summary

A modified endoscopic myotomy technique using a tailored bronchoscope proved effective for treating a 24-month-old child with achalasia cardia. The adjusted bronchoscope allowed for smooth navigation across the narrow esophageal lumen, a necessary adaptation due to the child's small anatomical structure. Modifications included external attachments for irrigation and CO2 insufflation. This approach avoided the limitations of using an ultraslim transnasal scope, permitted the use of standard endoscopy tools, and eliminated the need for scope changes during the procedure. The child showed significant post-procedural weight gain and improved symptoms, indicating the technique's effectiveness and potential for broader application in pediatric cases.

Asset Subtitle

Ashish Gandhi

Keywords

endoscopic myotomy

achalasia cardia

bronchoscope modification

pediatric endoscopy

esophageal treatment