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

Video Transcription

Video Summary

In this video, a physician discusses a case of a patient with end-stage achalasia and a severe sigmoid esophagus who experienced bleeding during a procedure. The physician describes the technique used, including a linear vertical incision and a T-type hybrid knife for creating a tunnel. The physician also mentions a retrograde myotomy and notes that this technique is not commonly practiced. The bleeding is encountered during the procedure, and the physician attempts to control it using tamponade and coag graspers. However, due to a lack of appropriate equipment, the bleeding continues. Eventually, a CRE balloon is used for temporary tamponade. The bleeding is stopped, and additional myotomy is performed to expose the bleeding vessel. Despite some complications, the patient did well overall. The video includes discussions among the physician and other medical professionals about various topics related to the procedure and techniques used.

Keywords

achalasia

bleeding

myotomy

tamponade

complications