ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand) | October 2022-State of the Art Lecture: The POEM Alphabet

Video Transcription

Video Summary

In this video, Dr. Dennis Yang discusses various aspects of the poem (Peroral Endoscopic Myotomy) procedure. He begins by explaining that poem is considered the prototype procedure for accessing and treating esophageal dysmotility. The procedure is validated and has shown a sustained clinical response rate ranging from 80% to 95% up to 10 years after the procedure. Dr. Yang compares poem to other treatment modalities and highlights its superiority over pneumatic balloon dilation and similar success rates to surgical myotomy. He addresses concerns about post-poem reflux, explaining that reflux is a common byproduct of the procedure but can be managed with PPI medication. Dr. Yang also discusses the use of endoflip procedure to assess the adequacy of the myotomy and optimize efficacy. He then moves on to G-POEM (Gastric Peroral Endoscopic Myotomy) and explains that while clinical success for this procedure is not as impressive as with esophageal poem, it shows potential in the treatment of medically refractory gastroparesis. Dr. Yang concludes by briefly discussing Z-POM (Zanker's Diverticulum Peroral Endoscopic Myotomy) and other POM-based applications for conditions like cricopharyngeal bars and Hirschsprung's disease. He emphasizes the importance of careful patient selection and the need for further research to optimize outcomes for these procedures.

Asset Subtitle

Dennis J. Yang, MD, FASGE, FACG

Keywords

Peroral Endoscopic Myotomy

esophageal dysmotility

surgical myotomy

Gastric Peroral Endoscopic Myotomy

medically refractory gastroparesis