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

Video Transcription

Video Summary

In this video, Dr. Dennis Yang provides a live demonstration of the poem procedure, a type of endoscopic treatment for achalasia. He explains the setup before the procedure, including patient positioning and equipment checks. Yang then demonstrates the initial step of the procedure, which involves doing an endoscopy to assess landmarks and clear any residual food debris. Next, he shows the process of making a mucosal incision and entering the submucosal tunnel using a cap and various knives, including the hybrid knife and triangular tip knife. He offers tips for dissection within the tunnel, such as staying close to the muscle layer and avoiding full-thickness injuries. Yang also demonstrates the closure of the mucosal incision using hemostatic clips, highlighting the importance of proper alignment and equal approximation of the clip arms. He answers some questions from viewers during the demonstration and provides additional insights and considerations throughout the video. The video concludes with a summary of the topics covered and an invitation to participate in future sessions of the conference. No credits were specified in the video.

Keywords

Dr. Dennis Yang

live demonstration

poem procedure

endoscopic treatment

achalasia

patient positioning

mucosal incision

submucosal tunnel

dissection

closure