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

Video Transcription

Video Summary

In this video, a surgeon discusses performing a procedure called POEM (Peroral Endoscopic Myotomy) on a patient with achalasia, specifically achalasia type 1 sigmoid esophagus. The surgeon mentions the challenges posed by the patient's extreme fibrosis and lack of submucosal space. They demonstrate the process of creating incisions, tunneling, and performing myotomy. They also address the issue of bleeding due to neovascularization in these patients. The surgeon uses a spray coagulation technique and shows how they navigate through the procedure. They also discuss the use of different knives and closure methods. During the video, there are brief conversations with other doctors about techniques and experiences with the procedure. The video ends with the surgeon closing the incisions and discussing whether a fundoplication should be performed. No specific credits are mentioned.

Asset Subtitle

Mouen Khashab, MD

Keywords

POEM

Peroral Endoscopic Myotomy

achalasia

sigmoid esophagus

fibrosis