UGI Esophagus-FAILED HELLER MYOTOMY WITH DIVERTICULECTOMY SUCCESS WITH POEM AND DIVERTICULOTOMY A CASE SERIES

FAILED HELLER MYOTOMY WITH DIVERTICULECTOMY SUCCESS WITH POEM AND DIVERTICULOTOMY A CASE SERIES

Video Transcription

Video Summary

In this video, Dr. Andrew Leopold presents a case series of two patients with achalasia and esophageal diverticulum who had failed Heller myotomy with diverticulectomy. Both patients underwent a procedure called peroral endoscopic myotomy (POEM) with diverticulotomy, which proved successful. The first patient, a 60-year-old female with a history of type 2 achalasia, had a complicated prior surgery that resulted in an esophageal pulmonary fistula and recurrent aspiration pneumonia. The second patient, a 67-year-old male, experienced weight loss and dysphagia due to the diverticulum. Both patients showed improvement after the POEM procedure, with resolution of symptoms and improved swallowing function. The video emphasizes the importance of a posterior approach to mucosal tunneling and myotomy during POEM, as well as the use of endoscopic suturing for added safety. Pre- and post-endoflip measurements were used to confirm the success of the myotomy. Overall, the video concludes that POEM is a feasible option for patients with achalasia and concomitant esophageal diverticulum who have failed previous surgeries. <br /><br />Source: Failed Heller Myotomy with Diverticulectomy: Success with POEM and Diverticulotomy - A Case Series - Dr. Andrew Leopold (Principal Investigator: Dr. Raymond Kim)

Asset Subtitle

Video Plenary - Authors: Andrew R. Leopold, Raymond E. Kim

Keywords

achalasia

esophageal diverticulum

Heller myotomy

peroral endoscopic myotomy

diverticulotomy