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

Gyawali POEM vignettes

Pdf Summary

This document discusses various complications related to esophageal dysphagia and their management. It includes information about different conditions such as esophageal candidiasis, pill esophagitis, stricture, and Barrett's esophagus. The document also mentions specific cases of patients and their symptoms, as well as the treatments they received, including botulinum toxin trial, balloon dilation, and posterior esophageal myotomy (POEM).<br /><br />The use of diagnostic tools such as esophageal high-resolution manometry (HRM), barium studies, and functional luminal imaging probe (FLIP) is highlighted. The FLIP is particularly mentioned for assessing bolus retention and treatment response. Studies evaluating FLIP in predicting symptom outcome following achalasia management are referenced.<br /><br />Other factors in the management of complications, such as repeat lower esophageal sphincter (LES) disruption, esophagectomy, and enteral feeding, are discussed. The document also mentions blown-out myotomy (BOM) as a potential complication of POEM and its management.<br /><br />The document concludes by mentioning the use of FLIP as a complementary tool to HRM in predicting symptom outcome after achalasia management. It also briefly mentions the management of POEM failure.<br /><br />In summary, this document provides a comprehensive overview of complications associated with esophageal dysphagia and their management, as well as the role of diagnostic tools like FLIP in assessing treatment response.

Keywords

esophageal dysphagia

complications

management

esophageal candidiasis

stricture

Barrett's esophagus

diagnostic tools

FLIP

achalasia management

POEM