Laparoscopic Treatment of Severe Reflux following POEM

Joshua Langert, MD, Ryan Broderick, MD, Cristina Harnsberger, MD, Christopher DuCoin, MD, MPH, Hans Fuchs, MD, Moneer Almadani, MD, Bryan Sandler, MD, Garth Jacobsen, MD, Santiago Horgan, MD. University of California, San Diego

Peroral Endoscopic Myotomy (POEM) is a relatively new procedure, and the long term effects are still being studied. We present a short video detailing the laparoscopic management of a 56 year old man, who presented to the hospital for aspiration pneumonia from severe reflux 1 1/2 years following a POEM. In this video we note a lack of adhesions and the maintainence of the natural tissue planes in the region of the prior myotomy. Performance of an anti-reflux surgery following POEM has not been described previously.

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