ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: LIVE and Virtual

Gyawali_POEM complications

Pdf Summary

This document summarizes various aspects related to the identification and management of complications in patients with esophageal disorders. It includes information on the outcomes of different treatment approaches, predictors of response to proton pump inhibitors (PPIs), alternative pharmacotherapy options, and the use of adjunctive medical therapy for gastroesophageal reflux disease (GERD). It also discusses the role of endoscopy, pH monitoring, and other diagnostic tests in evaluating patients with GERD symptoms and bolus retention. The document highlights the benefits and considerations of peroral endoscopic myotomy (POEM) and fundoplication in achalasia management, as well as the management of complications such as blown-out myotomy and spastic motor disorders. It also touches on the assessment of treatment response using techniques like FLIP (functional luminal imaging probe) and provides insights into the management of POEM failure. Lastly, the document briefly mentions factors to consider in the management of esophageal cancer, Barrett's esophagus, and massive esophageal dilation.

Keywords

esophageal disorders

complications

proton pump inhibitors

gastroesophageal reflux disease

endoscopy

diagnostic tests

achalasia management

treatment response

esophageal cancer

Barrett's esophagus