ASGE Endoscopy Live: Management of Achalasia | April 2023-Case Demonstration 6

Video Transcription

Video Summary

The video showcases a paroral endoscopic myotomy (POEM) procedure performed by Dr. Stavropoulos. The patient, a 62-year-old male, presented with dysphagia and regurgitation symptoms. The initial diagnostic investigations indicated the presence of type 2 achalasia, with a tight gastroesophageal (G) junction. The procedure involved creating a myotomy to relieve the obstruction caused by the achalasia. Dr. Stavropoulos used endoscopic techniques to perform the myotomy. The video provides a detailed demonstration of the procedure, showing the location of the myotomy, avoiding vessels, and the use of various tools and techniques. The myotomy was carried out in the distal esophagus and cardia, with full thickness cuts in some areas. Following the myotomy, the doctor used an endoflip device to measure the distensibility and compliance of the gastroesophageal junction. The measurements indicated successful relief of the obstruction. Finally, the doctor demonstrated a suturing technique to close the myotomy site. The sutures were placed in a running pattern, avoiding the muscle layer. The entire video showcased the various steps and techniques involved in performing a POEM procedure.

Keywords

paroral endoscopic myotomy

POEM procedure

Dr. Stavropoulos

dysphagia

achalasia

gastroesophageal junction

endoscopic techniques

suturing technique