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

Video Transcription

Video Summary

In this video, Dennis Yang, the Director of Third Space Endoscopy at the Center of Interventional Endoscopy Admin Health Orlando, provides a hands-on live demonstration of the POEM (Peroral Endoscopic Myotomy) procedure. He begins by explaining the optimal patient position and the setup in the room. Yang then demonstrates the initial endoscopy to assess landmarks and clear any food debris in the esophagus. He discusses the different types of caps that can be used during the procedure and explains his preferred choice. Yang also emphasizes the importance of pre-positioning equipment and knowing the location of pedals to avoid disrupting the procedure. Moving on to the POEM procedure, he explains how to make the mucosal incision and the factors to consider in determining its location. Yang then demonstrates tunnel creation by dissecting the submucosal fibers and entering the submucosal space. He explains the importance of staying close to the muscle layer and avoiding injury to the mucosa. Yang also shows the closure of the mucosal incision using clips and provides tips on proper alignment and technique. He concludes the demonstration by showing an alternative knife option, the Olympus Triangular Tip Knife, and discusses its advantages. The video offers a comprehensive overview of the POEM procedure, from patient positioning to mucosal incision closure. <br /><br />Credits: <br />Speaker: Dennis Yang <br />Course Directors: Aziz and Rita <br />Assistant: Amrita Sethi

Keywords

Dennis Yang

Third Space Endoscopy

Center of Interventional Endoscopy

POEM procedure

Peroral Endoscopic Myotomy

patient position

endoscopy

mucosal incision

tunnel creation

mucosal incision closure