Endoscopy Live (On Demand) | October 2021-Video Case Discussion 2: POEM

Video Transcription

Video Summary

The video discusses the technique of endoscopic fundoplication concomitant with peroral endoscopic myotomy (POEM) for achalasia treatment. The speaker explains the steps involved in the procedure, including performing an anterior myotomy, opening the peritoneum, visualizing the fundus of the stomach, and attaching an ender loop to create a partial wrap over the myotomy. It is emphasized that careful attention must be paid to avoid vessel damage during the procedure. Technical tips and considerations are provided, such as using transillumination to ensure proper positioning and using a detachable endo loop for easier application. The video concludes by mentioning the need for abdominal paracentesis to reduce capnoparitoneum.

Keywords

endoscopic fundoplication

peroral endoscopic myotomy

achalasia treatment

anterior myotomy

ender loop