Endoscopy Live (On Demand) | October 2021-Live Procedure 3: Johns Hopkins

Video Transcription

Video Summary

In this video, a surgeon is performing a procedure called peroral endoscopic myotomy (POEM) on a patient with achalasia. The surgeon explains that the patient has a type 1 sigmoid esophagus and extreme submucosal fibrosis, making the procedure more difficult than usual. The surgeon makes incisions and tunnels through the esophagus and performs myotomy on the muscle layer to treat the achalasia. Throughout the procedure, the surgeon encounters bleeding due to neovascularization in the patient. The surgeon also discusses using a spray coagulation technique and a triangular tip knife for the procedure. The video includes discussions with other doctors about techniques and options for closure and fundoplication. The surgeon successfully completes the procedure and closes the incisions with clips. The video provides insights into the challenges and techniques involved in performing POEM for achalasia. No credits are mentioned in the video.

Asset Subtitle

Mouen Khashab, MD

Keywords

surgeon

peroral endoscopic myotomy

achalasia

sigmoid esophagus

submucosal fibrosis