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

Video Transcription

Video Summary

The video transcript focuses on the technique of performing a peroral endoscopic myotomy (POEM) procedure. The speaker discusses the four steps of the procedure, including mucosal incision, submucosal tunneling, myotomy of the esophagus and stomach, and closure. The speaker also discusses different approaches to the mucosal incision, the use of endoflip to guide the length of the myotomy, and techniques for managing bleeding and insufflation-related adverse events. The importance of maintaining orientation and avoiding excessive torquing of the endoscope is emphasized. The speaker also mentions the use of coagulation grasper for hemostasis and the value of endoflip in assessing the effectiveness of the myotomy. The video concludes with a brief discussion on long-term outcomes and the need for further research. The transcript does not mention any specific credits for the content of the video.

Asset Subtitle

Aadam

Keywords

peroral endoscopic myotomy

POEM procedure

mucosal incision

submucosal tunneling

esophagus and stomach myotomy

endoflip

bleeding management