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

Video Transcription

Video Summary

In this video, the speaker discusses the steps involved in performing a POEM procedure (Peroral Endoscopic Myotomy). The four steps outlined are mucosal incision, submucosal tunneling, myotomy of the esophagus and stomach, and closure. The speaker also addresses the anterior and posterior approaches to mucosal incision and explains that there is no difference in clinical success between the two. The use of endoflip, a balloon distention technique, is discussed as a way to assess the effectiveness of the myotomy. The speaker emphasizes the importance of avoiding torquing the scope too much and keeping the submucosal tunnel wide enough to prevent bleeding and maintain orientation. The management of adverse events such as pneumoperitoneum and bleeding is addressed, as well as the use of clips versus sutures for closure. The speaker concludes by urging learners to ask questions and seek hands-on demonstrations during the lab portion of the program. No credits are granted in the video.

Asset Subtitle

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Keywords

POEM procedure

mucosal incision

submucosal tunneling

myotomy

closure

endoflip

bleeding prevention