ASGE DDW Videos from Around the World | 2026-WATER PRESSURE METHOD FOR ENDOSCOPIC CRICOPHARYNGEAL MYOTOMY

WATER PRESSURE METHOD FOR ENDOSCOPIC CRICOPHARYNGEAL MYOTOMY

Video Transcription

Video Summary

The video demonstrates water pressure method for endoscopic cricopharyngeal myotomy (CPOM) in a 79-year-old woman with severe, refractory cricopharyngeal dysfunction causing dysphagia and weight loss. After prior dilation and botulinum injections failed, endoscopic myotomy was performed in a very narrow hypopharyngeal space. Water jet immersion helped lift the mucosal flap, improve visualization, extend the submucosal tunnel, and control minor bleeding while reducing insufflation-related risks. The procedure was completed successfully with clip and suture closure. The patient recovered without complications and had marked symptom and swallow improvement.

Asset Subtitle

Submitted by Dennis Yang

Keywords

endoscopic cricopharyngeal myotomy

water pressure method

cricopharyngeal dysfunction

dysphagia treatment

hypopharyngeal surgery