Advanced Endoscopy Fellows Program | September 2022-8_Per Oral Endoscopic Myotomy, Equipment and Technique A Step-by-Step Explanation

8_Per Oral Endoscopic Myotomy, Equipment and Technique A Step-by-Step Explanation

Video Transcription

Video Summary

This video provides a demonstration and explanation of the per-oral endoscopic myotomy (POEM) procedure for treating achalasia patients. The video highlights the use of various tools and techniques during the procedure. Prior to the POEM, a gastroscope with a large accessory channel called the clot-sucker microscope is used to remove food debris from the esophagus. A distal clear cap attachment is used to assist with tissue dissection. Two common current settings, endocut Q and forced coagulation, are used for dissection. The video demonstrates the two main knives, the TT knife and the hybrid T-type knife, used for POEM. The video then shows the operating room setup, patient positioning, and the importance of proper orientation within the esophagus. Two different techniques for POEM are shown: the dilation balloon technique and the use of the ERBI hybrid knife. The video also discusses the markers for confirming the extension of the submucosal tunnel. This video is provided for educational purposes and does not list any specific credits.

Keywords

per-oral endoscopic myotomy

POEM procedure

achalasia treatment

endoscopic tools

tissue dissection