ASGE Endoscopy Live: Management of Achalasia (On-Demand) | April 2023-Case Demonstration 2

Video Transcription

Video Summary

In this video, Dr. John Panolfino and Dr. Aziz Adham discuss a case study of a 23-year-old patient who underwent a procedure called POEM (Peroral Endoscopic Myotomy) six months ago. The patient had been diagnosed with type 1 achalasia and showed symptoms such as weight loss and a bird beak pattern on esophagrams. The doctors performed an endoflip assessment before and after the POEM procedure to measure esophageal function. The post-POEM assessment showed improvements in the patient's Eckhart score and esophageal function. The doctors performed an upper endoscopy to further evaluate the patient and discussed the use of different balloon lengths for the endoflip catheter. They highlighted the importance of measuring pressure in the esophageal body and assessing the relationship between pressure and diameter in determining reflux risk. Overall, the video demonstrates the use of endoflip and other procedures to assess and improve esophageal function in achalasia patients. The video was produced by the Northwestern team.

Keywords

POEM

Peroral Endoscopic Myotomy

achalasia

endoflip assessment

esophageal function