ASGE Esophagology: Tailoring Management from Testing to Treatment (On-Demand) | July 2022-CASE Based Discussion Session 3

Video Transcription

Video Summary

In this video, the speaker discusses recurrent symptoms after treatment for achalasia and how to address these patients. They highlight common mistakes made before starting treatment, such as not understanding the subtypes of achalasia or the anatomy and biomechanics of bolus transport. The speaker explains the importance of identifying the subtype of achalasia and how it can predict treatment outcomes. They also discuss the significance of anatomy in treatment decisions and how anatomic deformities can affect patient outcomes. The speaker presents a case study of a patient who had a laparoscopic heller myotomy but continued to have symptoms. They explain the use of a time-barium esophagram to evaluate the patient and discuss the algorithm they use to determine next steps in treatment. The speaker also talks about the potential for blown-out myotomies and how they can contribute to recurrent symptoms. They emphasize the need for precision and personalized approaches in treatment to avoid these complications. Overall, the video provides insights into the evaluation and management of recurrent symptoms after treatment for achalasia.<br />No credits were given in the video.

Keywords

recurrent symptoms

achalasia

treatment

subtypes

anatomy

management