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

Cases: Tips, Techniques and Tricks (POEM, TIFF, STER) - 2

Video Transcription

Video Summary

In the video, Neil Sherma discusses two different cases. In the first case, a 43-year-old male with type 2 achalasia underwent a hyaluronidotomy and Nissen fundoplication, but continued to experience dysphagia symptoms. A posterior poem procedure was performed to help alleviate his symptoms. Sherma explains the steps of the poem procedure, including the importance of creating a wide tunnel and being cautious of surrounding structures. He also discusses the use of a dry cut and precise cauterization for hemostasis. In the second case, Sherma performs a submucosal tunneling endoscopic resection (STR) on a patient with a gastrointestinal stromal tumor (GIST) in the stomach. He demonstrates the technique for creating a tunnel, dissecting around the GIST, and removing it en bloc. Sherma emphasizes the importance of adequate hemostasis and closure of the tunnel to prevent complications. Both cases were successful with no recurrence reported. No credits were provided.

Asset Subtitle

Neil R. Sharma, MD

Keywords

achalasia

poem procedure

GIST

hemostasis

complications