ASGE International Sampler (On-Demand) | 2024-PERORAL ENDOSCOPIC MYOTOMY IN A PATIENT WITH SIGMOID ACHALASIA END STAGE LIVER DISEASE AND ESOPHAGEAL VARICES AS A BRIDGE TO LIVER TRANSPLANTATION

PERORAL ENDOSCOPIC MYOTOMY IN A PATIENT WITH SIGMOID ACHALASIA END STAGE LIVER DISEASE AND ESOPHAGEAL VARICES AS A BRIDGE TO LIVER TRANSPLANTATION

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Video Summary

Peroral endoscopic myotomy (POEM) was successfully performed on a 66-year-old male with achalasia, end-stage liver disease, and esophageal varices as a bridge to liver transplantation. Despite contraindications, the patient underwent POEM after failed pneumatic dilation. The procedure involved submucosal dissection and myotomy, leading to improved swallowing function. The patient subsequently underwent a successful liver transplant. The case emphasizes the need for considering more invasive options when standard treatments fail in high-risk patients with liver disease. Overall, POEM proves to be a viable option for managing achalasia in complex cases, highlighting the importance of thorough multidisciplinary discussions and tailored treatment strategies.

Asset Subtitle

John Dewitt

Keywords

POEM

achalasia

liver transplantation

esophageal varices

multidisciplinary treatment