Per Oral Endoscopic Crurotomy (POEC): A Useful POEM Enhancement for Advanced Achalasia

Video Transcription

Video Summary

In this video, the technique of endoscopic crurotomy is discussed as a potential enhancement for advanced achalasia, a condition characterized by outflow obstruction in the esophagus. The video illustrates the anatomy of the crura, with the right crux putting traction on the esophagus, creating an acute angulation. The crurotomy technique involves extending the myotomy into the adjacent crux to relieve the outflow obstruction. The video presents a specific case of a 45-year-old patient with achalasia and discusses the procedure, including the use of a multifunctional knife for myotomy and the closure of the tunnel opening. The video concludes with a summary of 19 cases, demonstrating the feasibility, efficacy, and safety of the crurotomy technique. This educational video was made possible by a grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.

Keywords

endoscopic crurotomy

advanced achalasia

outflow obstruction

myotomy

multifunctional knife