Peroral Endoscopic Myotomy for Esophageal Achalasia

Amy K Yetasook, BA, Jin-cheng Zhao, MD, Michael B Ujiki, MD. NorthShore University HealthSystem


Background: Optimal treatment that is minimally invasive is at the foundation of many laparoscopic procedures including those aimed at relieving the symptoms of patient with achalasia, a rare but well delineated primary esophageal motility disorder. The demonstration of the ability to use POEM and other flexible endoscopic approaches as clinically feasible in a patient population with achalasia with similar precision in short-term patient outcomes is noteworthy as there are distinct advantages to this ultra-minimally invasive approach.
Methods: Here we perform peroral endoscopic myotomy on an 81 year old patient with significant past medical history of a perforated duodenal ulcer treated with vagotomy and pyloroplasty as well as the existence of a large hiatal hernia (approximately 5 cm). Due to his presentation and past surgical history the patient decided to undergo POEM.
Results: The patient tolerated the procedure well with no complaints of postoperative pain and was relieved of his preoperative symptoms of dysphagia to both solids and liquids and weight loss.
Conclusions: Our single institution experience of POEM was feasible in a patient presenting with a singular medical and surgical history

Session Number: SS21 – Videos: Solid Organ & Foregut
Program Number: V048

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