ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: LIVE and Virtual | July 2022-Fundamentals and Evolution of POEM

Video Transcription

Video Summary

The video is a presentation by Roberta Mazzelli, an assistant professor in Humanitas Research Hospital and Humanitas University in Milan, Italy. She discusses the fundamentals and evolution of POEM (Peroral Endoscopic Myotomy) as a treatment of choice. She explains that POEM involves creating a new space called the "third space" between the mucosa and muscle layers of the esophagus, which allows for cutting the muscle for the myotomy. She discusses the standardized procedure, the different approaches (anterior and posterior), and the use of different surgical tools. She presents data on the success rates of POEM compared to laparoscopic Heller myotomy and pneumatic dilation. She also discusses the long-term outcomes, including the control of GERD and the occurrence of complications such as Barrett's esophagus and strictures. She concludes by mentioning new perspectives on POEM, such as underwater POEM and its potential use in other disorders.

Asset Subtitle

Maselli-virtual

Keywords

POEM

myotomy

esophagus

surgical tools

success rates

complications