ASGE Endoscopy Live: Management of Achalasia (On-Demand) | April 2023-Video Case - Stavros Stavropoulos Peroral Endoscopic Crurotomy

Video Case - Stavros Stavropoulos Peroral Endoscopic Crurotomy

Video Transcription

Video Summary

In this video, Dr. Stavros Stavropoulos presents a technique called paroral endoscopic crurotomy for treating outflow obstruction in patients with advanced achalasia. The technique involves a partial myotomy of the left arm of the right crux during a posterior POEM procedure. The video includes a case study of a 45-year-old man with long-standing achalasia who underwent the modified POEM technique. The procedure successfully relieved outflow obstruction, as demonstrated by barium imaging and endoflip measurements. The video also presents the outcomes of 19 patients who underwent the crurotomy technique, showing excellent feasibility, efficacy, and safety. No severe adverse events were reported. The video concludes with a picture of the island of Nisyros, where Dr. Stavropoulos's family is from.

Keywords

paroral endoscopic crurotomy

outflow obstruction

achalasia

posterior POEM procedure

modified POEM technique