Traditional approaches to treating patients with achalasia have been Heller myotomy, pneumatic dilation, and Botox injection. The minimally invasive technique of per-oral endoscopic myotomy (POEM) has emerged as a promising alternative to these techniques. POEM is now performed at various centers in the United States and around the world. Randomized data is now available that this endoscopic technique yields equivalent results to those of a Heller myotomy and thus POEM is quickly becoming a new standard of care for treating achalasia in properly selected patients. This course will introduce the participant to the indications for POEM and how to evaluate and select appropriate candidates for the procedure. Participants will also learn the POEM technique and management of adverse events through didactics as well as simulated hands-on training models. Come learn how POEM can be a safe and effective procedure for the treatment of your achalasia patients.

Enrollment criteria: Some ESD experience strongly suggested.

The live course was held at IT&T on July 16-17, 2022.

• Identify the benefits of POEM for Achalasia and other esophagogastric motility disorders (Knowledge)
• Identify the risks of POEM and the correct identification and management of complications (Knowledge)
• Differentiate the pros and cons of the different POEM techniques (Analysis)
• Demonstrates basic techniques for submucosal tunneling (Application)
• Demonstrates proper techniques of myotomy (Application)

	Amrita Sethi, MD, MASGE Columbia University  Irving Medical Center - NYP New York, New York
	Aziz Aadam, MD, FASGE Associate Professor of Medicine Northwestern University Medicine Chicago, Illinois

Faculty
Vani Konda, MD, FASGE
Baylor University Medical Center
Dallas, TX 

Joe Triggs, MD, PhD
University of Pennsylvania Perelman School of Medicine
Bryn Mawr, PA 

Peter Draganov, MD, FASGE
University of Florida College of Medicine
Gainesville, FL 

Ming Ming Xu, MD
Kaiser Permanente West
Los Angeles, CA 

Dennis Yang, MD, FASGE
Center of Interventional Endoscopy (CIE) AdventHealth
Orlando, FL 

Nikhil Kumta, MD, MS
Mount Sinai Hospital
Division of Gastro at Mount Sinai Medical Center
New York, NY 

Ji Young Bang, MD, MPH
Orlando Health Digestive Health Institute
Orlando, FL 

Uzma Siddiqui, MD, FASGE
University of Chicago
Chicago, IL

NorioFukami, MD, MASGE
Mayo Clinic
Scottsdale, AZ

John Pandolfino, MD
Northwestern Medical Faculty Foundation
Chicago, IL

Haruhiro Inoue, MD, FASGE, PhD
Showa University Koto Toyosu Hospital
Tokyo, Japan

Roberta Maselli, MD, PhD
Humanitas Research Hospital
Milan, Italy

Although all browsers continually roll out new versions and updates, we currently recommend using Chrome for the best functionality when accessing GI Leap. Please note that Internet Explorer is not a supported browser. Follow these tips for better streaming and viewing of ASGE videos:

1. Close other applications and browser tabs. This decreases the load on memory so your computer or other device can focus on streaming.
2. Use a 5 GHz frequency if your router supports it. The common 2.4 GHz frequency is used by household appliances, so is more crowded. Avoiding it is like getting into the carpool lane on a freeway: smoother sailing.
3. Use Ethernet instead of Wi-Fi if possible but GI LEAP is built with Wi-Fi in mind. 
4. Monitor your internet connection. If your ISP has promised you 5MBps and you are getting only 1MBps, it's time for a phone call to your internet provider to sort that out.

Windows Requirements:
Operating system: Windows 10+ 
Browser:  Chrome v90.0+, Firefox v84.0+, Edge v90.0+
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 v84.0+, Safari 14+, Chrome v90.0+ 
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+