In this episode, the Surgical Endoscopy team reviews applications of per oral endoscopic myotomy (POEM) at different locations in the gastrointestinal tract. Specifically, they discuss esophageal POEM for achalasia, G-POEM for gastroparesis, and Z-POEM for management of a Zenker’s diverticulum. The team describes outcomes for these procedures as well as an overview of the procedural steps and postoperative management. Common pitfalls to POEM are deliberated along with advice on how to mitigate challenging situations when they arise.

VIDEO LINK: https://app.behindtheknife.org/video/surgical-endoscopy-series-ep-3-per-oral-endoscopic-myotomy

Hosts:

• Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery Fellow, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter)

• Dr. H. Mason Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL)

• Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter)

• Dr. Michael McCormack, Minimally Invasive Surgeon, Swedish Hospital (Chicago, IL)

Learning Objectives:

• Describe the basic steps of the Peroral Endoscopic Myotomy (POEM) technique.

• Identify the different applications for POEM in the esophagus, stomach, and pharynx.

• Recognize the primary indications and success rates for esophageal, gastric, and Zenker's diverticulum POEM procedures.

Surgical Endocsopy Series:

- Surgical Endoscopy Series Ep. 1: An Introduction to Surgical Endoscopy: https://behindtheknife.org/podcast/surgical-endoscopy-series-ep-1-an-introduction-to-surgical-endoscopy

- Surgical Endoscopy Series Ep. 2: Endobariatrics - https://behindtheknife.org/podcast/surgical-endoscopy-series-ep-2-endobariatrics

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