UGI Esophagus-RESIDUAL SPASM ABOVE THE MYOTOMY EFFECT

Video Transcription

Video Summary

The video discusses the management of residual spasm above the myotomy effect in patients with achalasia who have undergone a heller myotomy. Residual spasm above the myotomy effect can occur when contractile activity is preserved and the myotomy does not address the entire active component. Detection of spasm can be done through high-resolution manometry, endoscopy, and FLIP topography. Management strategies may include trials of supplements or medications, Botox injections, or completion myotomy via a POEM approach. The video presents three cases illustrating the detection and management of residual spastic areas above the myotomy effect. Flip topography with a 16-centimeter balloon is found to be useful in detecting the spasm. The patients in the cases presented had successful resolution of their symptoms after the appropriate interventions. No specific credits were mentioned for this video.

Asset Subtitle

Honorable Mention

Keywords

residual spasm

myotomy effect

achalasia

high-resolution manometry

FLIP topography