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

Video Transcription

Video Summary

In this video, Joe Triggs from the University of Pennsylvania discusses post-POEM (peroral endoscopic myotomy) management. He starts the talk by thanking everyone and acknowledging the organizers of the event. Triggs explains that post-pollen management is not well-documented, so he shares his own approach based on his experience. He emphasizes the importance of considering discharge planning as soon as the patient is admitted and discusses factors that determine whether a patient can be discharged the same day or needs to be admitted. Triggs mentions a study that found 62% of patients were safely discharged after pollen. He talks about acute pain management after pollen and shares his standard pain regimen, which includes IV dilaudid and Toradol. Triggs also addresses topics such as diet after pollen, acid suppression, management of bleeding, follow-up recommendations, and management of patients taking antiplatelet and anticoagulation therapy. He concludes by emphasizing the importance of setting realistic expectations with patients regarding the outcomes of pollen, as it is a treatment and not a cure for achalasia.

Asset Subtitle

Triggs

Keywords

post-POEM management

peroral endoscopic myotomy

discharge planning

acute pain management

diet after pollen

acid suppression

bleeding management