ESD/Submucosal Endoscopy-TANDEM PER ORAL ENDOSCOPIC MYOTOMY AND TRANSORAL INCISIONLESS FUNDOPLICATION: A STRATEGY TO REDUCE REFLUX AFTER PER ORAL ENDOSCOPIC MYOTOMY

TANDEM PER ORAL ENDOSCOPIC MYOTOMY AND TRANSORAL INCISIONLESS FUNDOPLICATION: A STRATEGY TO REDUCE REFLUX AFTER PER ORAL ENDOSCOPIC MYOTOMY

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Video Transcription

Video Summary

In this video transcript, the authors discuss a case study of a 41-year-old male with severe symptoms of type 2 achalasia, including dysphagia, weight loss, and regurgitation. They perform a peroral endoscopic myotomy (POEM) by creating a submucosal tunnel and conducting a full-thickness myotomy. To prevent reflux after the procedure, they also perform a transoral incisionless fundoplication (TIF), using a device to create a tissue wrap around the gastroesophageal (GE) junction. The procedure is successful, with the patient experiencing improved symptoms, weight gain, and no need for proton pump inhibitors. The authors suggest that combining POEM and TIF may be an effective strategy to prevent reflux in achalasia patients, but long-term studies are required to confirm its safety and efficacy. (Summary: 147 words)

Asset Subtitle

Video Plenary - Authors: Nicholas A. Hoerter, David A. Greenwald, Christopher J. DiMaio, Satish Nagula, Rebekah E. Dixon, Nikhil A. Kumta

Keywords

type 2 achalasia

POEM

TIF

reflux prevention

symptom improvement