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ASGE JGES: Advanced ESD and POEM & Third Space Endoscopy (On-Demand) | October 2020
Released: November 10, 2020
Viewing Time: 14 hours
This is the On-Demand version of the Virtual course held on October 31 - November 1, 2020.

ESD Description
The American Society for Gastrointestinal Endoscopy (ASGE) and the Japan Gastroenterological Endoscopy Society (JGES) invite you to participate in this virtual course focusing on advanced endoscopic submucosal dissection (ESD) techniques taught by highly skilled experts, representing the largest team of outstanding masters in ESD ever assembled in this country. Learn from the masters, sit back and relax from the comfort of your home. Participants will be able to participate in live Q&A chats with the masters.

This audience-participating style will give audience “live demonstration” feel and create environment to think of the critical steps and planning and modifying techniques according to the location, size, and situation of the lesions.

This virtual course will offer advanced endoscopists who are performing ESD to engage in discussion with critique in ESD planning, tools, techniques and exchange ideas on how to improve advanced skills. In addition to hearing experts discuss ESD procedures, participants can take part in thinking the process of ESD critique displayed techniques and ask questions.

POEM Description
Take advantage of this one-of-a-kind inaugural immersion course in POEM, taught by highly experienced world-renowned experts. This course is planned to prepare participants for the clinical application of interventional endoscopy using submucosal space and will educate not only technical aspect of submucosal endoscopy, but also clinical diagnosis of Achalasia, indications, potential issues and outcome measurements. Learners will learn steps and techniques to prepare clinical application of the new technique.

The capabilities of interventional gastrointestinal endoscopy have significantly increased over the past several decades. Improvements in devices and techniques have eased the transfer of novel concepts from bench to bedside. The concept of submucosal endoscopy with mucosal flap safety valve has enabled endoscopists to safely and securely use submucosal space, or now called the third space. Peroral endoscopic myotomy was the initial procedure performed utilizing submucosal space in patients with achalasia. Subsequently, this technique has been used successfully for removal of subepithelial tumors from the esophagus and the stomach.

All third-space endoscopy procedures use a similar technique—a submucosal tunnel is created, and then a myotomy is performed or a subepithelial tumor is dissected away from the initial site out of the mucosal incision. The other potential indications for third-space endoscopy include refractory gastroparesis, Zenker diverticulum, and restoration of completely obstructed esophageal lumen. Although the emerging data look promising for peroral endoscopic myotomy and pyloromyotomy, randomized studies with long-term follow-up are lacking. Submucosal endoscopy is largely safe, and the occurrence of major adverse events is uncommon. Therefore, the majority of third-space endoscopy procedures can be performed in an endoscopy suite. The most frequently encountered adverse events during submucosal endoscopy include those related to insufflation, bleeding, and mucosal perforations.
Learning Objectives
At the end of the ESD course, the learner will be able to:
  • Increase awareness of the skills, knowledge, and difficulties inherent in the practice of ESD
  • Evaluate the indications, risks and benefits of ESD in the esophagus, stomach, duodenum and colon.
  • Determine the appropriate lesions that can be approached with ESD and the limitations of the technique.
  • Evaluate and treat immediate adverse events during ESD.
At the end of the POEM course, the learner will be able to:
  • Identify the benefits of POEM for Achalasia and other esophagogastric motility disorder
  • Differentiate types of esophageal motility disorder
  • Demonstrates basic techniques for submucosal tunneling and intervention
  • Demonstrates proper techniques of myotomy
Topics covered
The presentation titles for this course can be found in the course brochure
Course Directors
Norio Fukami, MD, FASGE
Professor of Medicine
Mayo Clinic
Scottsdale, AZ
Consultant: Boston Scientific, Cook Medical and Olympus

Haruhiro Inoue, MD, PhD, FASGE
Professor & Director Digestive Disease Center
Showa University Koto Toyosu Hospital
Tokyo, Japan
Educational grant: Olympus, Boston Scientific, and Ethicon

Naohisa Yahagi, MD, PhD
Keio University School of Medicine
Tokyo, Japan
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Hardware/Software Requirements
Windows Requirements: 
Operating system: Windows 7+ 
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection 
Flash: Adobe® Flash® Player 12+ 

Macintosh Requirements: 
Operating system: Mac OS X 10.6.8+ 
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+
Contact Information
For technical difficulties or questions related to content or CME credits, please contact ASGE between the hours of 8:30 AM and 5:00 PM (CST) at 1-866-353-2743 or email
Availability: Retired
Cost: Member: $590.00
Non-Member: $950.00
Credit Offered:
No Credit Offered
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