ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: LIVE and Virtual | July 2022-POEM, 15 years later Prof Haru Inoue

Video Transcription

Video Summary

In this video, the speaker discusses the history and various techniques of the peroral endoscopic myotomy (POEM) procedure. They mention that the Hellermyotomy was performed over 100 years ago, and in 1991, a laparoscopic version was introduced. They then talk about the submucosal endoscopic esophageal myotomy using the POSIM model, as well as the usefulness of submucosal tunneling using the POSIM model. The speaker reports that they performed the POEM procedure in 2010, and it was the world's first case. They explain the procedure, showing before and after images, and mention that they have performed over 2,000 cases in their hospital. They compare the success rates of POEM and pneumatic dilation, with POEM having a higher success rate. They also discuss the treatment of different types of motility disorders and complications during the procedure. Additionally, they mention the issue of post-POEM GERD and the recommended techniques to avoid it. They conclude by discussing other procedures related to POEM, such as POET, gastric POEM, TENKA POEM, and diverticulum POEM.

Keywords

peroral endoscopic myotomy

POEM procedure

Hellermyotomy

laparoscopic version

submucosal endoscopic esophageal myotomy

POSIM model