ASGE Endoscopy Live: Management of Achalasia | April 2023-Case Demonstration 5

Video Transcription

Video Summary

In this video, Dr. Chris Thompson demonstrates a poem procedure on a 34-year-old patient with spondyloarthritis who developed dysphagia. The patient had previously undergone esophageal CRE dilation but did not respond. The patient was diagnosed with type 2A achalasia and had various symptoms such as weight loss, daily dysphagia, regurgitation, and chest pain. Dr. Thompson introduces his team and mentions that they will be using a new technology called the SpeedBoat, which is a bipolar device for cutting and hemostasis. He explains the advantages and potential limitations of this device. The team performs an endoflip to measure the distensibility index (DI) and diameter of the esophagus before starting the procedure. Dr. Thompson discusses the approach, incision, and myotomy, and shows the use of the bipolar device for cutting and coagulation. Throughout the procedure, Dr. Thompson and his team address questions and comments from other healthcare professionals who are observing the procedure remotely. They also demonstrate the use of a hydrogel and removable clips for closing the incision. The video ends with the completion of the procedure and the closure of the incision using the removable clips.

Keywords

poem procedure

spondyloarthritis

dysphagia

type 2A achalasia

SpeedBoat

endoflip

myotomy