ASGE Endoscopy Live: Management of Achalasia (On-Demand) | April 2023-Case Demonstration 6

Case Demonstration 6 - Stavros Stavropoulos Anti Reflux POEM

Video Transcription

Video Summary

In this video, Dr. Stavropoulos performs a paroral endoscopic myotomy (POEM) procedure on a 62-year-old male patient with dysphagia and regurgitation. The patient had previously undergone Botox injections, which provided temporary relief. The procedure begins with a case presentation and an overview of the patient's history and diagnostic test results, including an esophagogastroduodenoscopy (EGD) and a barium swallow. Dr. Stavropoulos explains that the myotomy will be performed at the Z-line and outlines the planned course and landmarks. He then proceeds to perform the myotomy, utilizing a dry cut technique and creating a tunnel towards the gastroesophageal junction. Throughout the procedure, Dr. Stavropoulos provides commentary on his technique and the instruments he uses. He also discusses the benefits of using endoflip to measure distensibility before and after the myotomy. The video ends with Dr. Stavropoulos suturing the incision site, demonstrating his technique for closure. Overall, the video provides a detailed and informative demonstration of a POEM procedure performed by Dr. Stavropoulos.

Keywords

POEM procedure

dysphagia

regurgitation

Botox injections

myotomy

endoflip

distensibility

Dr. Stavropoulos