ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: (On-Demand)

Video Transcription

Video Summary

In this video, doctors discuss various cases related to patients who have undergone the POEM (Peroral Endoscopic Myotomy) procedure for treating achalasia. They provide insights into the challenges faced after the procedure and how to manage patient expectations in the long term. In one case, a 50-year-old female struggled with solid foods after the procedure. The doctors evaluated her and found mild candidiasis and absent contractility, leading them to recommend a liquid diet for the rest of her life. In another case, a 70-year-old patient experienced weight loss and ongoing heartburn despite taking medication after the procedure. The doctors advised focusing on diet and lifestyle counseling and managing patient weight to achieve better control. They also discussed the importance of managing patient expectations and providing them with tools and strategies to manage their condition. In one case involving a 28-year-old patient, the doctors identified residual spasm above the myotomy effect. They conducted a Botox trial to recreate the previous intervention's success and later performed a completion myotomy, which resulted in significant symptom relief. Overall, the video emphasizes the need for individualized patient care and the importance of addressing various factors such as diet, lifestyle, weight management, and psychological well-being in the long-term management of achalasia after the POEM procedure.

Keywords

POEM procedure

achalasia

patient cases

long-term management

liquid diet

weight loss

symptom relief