ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-Case: Tips, Technique and Tricks (POEM, TIFF, STER)

Case: Tips, Technique and Tricks (POEM, TIFF, STER)

Video Transcription

Video Summary

The video transcript is a presentation by Dr. Riker and Neil Sharma at a course on POEM, TIFF, and STIR techniques. The case discussed involves a 33-year-old patient with chronic heartburn and regurgitation. Despite improvement with medication and weight loss, the patient has a long segment of Barrett's esophagus and a small hiatal hernia. The patient opts for translural incisional fundoplication as an alternative to long-term use of PPIs. The procedure involves the use of a helical retractor to elongate the esophagus and reduce the hernia, followed by the placement of fasteners to create a 270-degree wrap around the esophagus. The procedure is considered safe with a low rate of complications, although an esophageal tear requires clipping. The presenter also emphasizes the importance of cleaning the endoscope thoroughly to ensure clear images and videos.

Asset Subtitle

Sofiya Reicher, MD, FASGE, FACG, and Neil R. Sharma, MD

Keywords

POEM

Barrett's esophagus

translural incisional fundoplication

hiatal hernia

endoscope cleaning