Novel Closure of a Large Mucosal Perforation During POEM

Video Transcription

Video Summary

This video discusses the use of peroral endoscopic myotomy (POEM) as a salvage therapy for achalasia, specifically in patients who have had prior Heller myotomy. POEM involves performing a repeat myotomy in a different orientation from the anterior location of the Heller myotomy. The video presents a case study of a 33-year-old male with persistent achalasia symptoms, despite previous treatment. The patient underwent salvaged POEM, which included overcoming technical challenges due to fibrosis and a fundoplication. During the procedure, a mucosal perforation occurred, but was successfully managed using a novel suture-based intramuscular enhanced fixation device. The patient had a good recovery and experienced significant symptom improvement. The video highlights the importance of careful navigation and the use of novel techniques in managing complications during POEM. The video is sponsored by an educational grant from Braintree, a part of Cibela Pharmaceuticals.

Keywords

peroral endoscopic myotomy

POEM

salvage therapy

achalasia

Heller myotomy