Point: Traditional Treatments Are The Rule


Presented by Steven DeMeester, MD at the SAGES 2014 Meeting; Panel – Per Oral Endoscopic Myotomy (POEM)

achalasia description–54 sec
tweaks to the Heller–2:31
citation–3:00 http://www.ncbi.nlm.nih.gov/pubmed/?term=24220600
POEM for achalasia with citation–3:27 http://www.ncbi.nlm.nih.gov/pubmed/?

Keyword(s): 10mm Hg, abdominal wall incisions, abscess, achalasia, achalasia balloon dilators, achalasia disease, acid exposure, acid reflux studies, agressive myotomy, algorithm, American Journal of Gastroenterolgy, analysis, anatomic effects, anatomy, angle of His, Annals of Surgery, antireflux procedure, ASGE, aspiration events, asymmetric appearance, balloon technique, bilateral pneumothoracese, Botox injection, Canada, cardiomyotomy, cardiospasm, chest pain, chest tube, circumferential ESD, clasp fibers, clinical, clinical comparative study, clinically relevant, clinically significant, clip dislocation, co-morbidities, CO2 insufflation, coagulate, comfort level, comparative study, compliance, complication rates, comprehensive objective testing, comprehensive, objective outcomes, contraindications, conversions, COPD, criteria met, critical threshold, CSA, cx, delayed hemorrhage, DES, Digestive and Liver Disease, dilate, dilated esophagus, distal esophageal contraction amplitude, distal obstruction, distensibility, dor fundoplication, drainage, drop off, duration of success, dx, dysphagia, dysphagia relief, EA, early failures, early learning curve, eat, Eckhardt score, effective tx, efficacy, emergencies, emptying, endoflip, endoscopic, endoscopic full-thickness and circular muscle myotomy, endoscopic myotomy, endoscopic problems, endoscopic tools, Endoscopy, entry point, Ernest Heller, erosions, erosive esophagitis, ESD technique, esophageal achalasia, esophageal emptying, esophageal myotomy, esophageal pressurization, esophagectomy, esophagologist, esophagomyotomy, esophagus, Europe, evaluated, excellent results, experienced centers, extended Heller myotomy, facile endoscopist, failed LHM, failures, feasible, flexible endoscopic experience, follow-up, frail, frequency, full thickness entry esophagotomy, functional problem, Gastroenterology, GEJ, GERD, GI lab, GI tunnel bleed, grade A, grade I, hands on lab, HDM, Heller myotomy, Heller-fundoplication, hiatal hernia, histologic, HIV positive, hostile ABD, HRM normal LES pressure, idiopathic achalasia, impedence planimetry, impedence tracing, inadequate myotomy, incidence increases with age, intension-to-treat, international, interventional vascular procedures, intraballoon pressure, intraop post measurements, intraperitoneal surgery, John Browning, Journal of Gastrointestinal Surgery, Journal of the American College of Surgeons, lap, lap Heller, lap Heller myotomy vs endoscopic balloon dilatation, late control, late results, leaks, learning curve, LES, LES disruption, LES resting pressure, LHM, lit, long term failure, long thoracic myotomy, long-term manometry, long-term outcomes, longitudinal fibers, male, manometric, manometry, massive bleeding, mean pressure, mechanical problem, mediastinal emphysema, mediastinitis, men, meta-analysis, misdiagnosis, mucosal closure dehiscence, mucosal injury, mucosal tear, mucosotomy, mucosotomy closure, multi-institutional prospective study, multicenter, myotomy, needle thoracotomy, negative exploration, NEJM, nocturnal regurgitation, non-whites, Northwestern, NOTES, NPO, Ogilvie syndrome, Olympus, outcomes predictors, outperforming, pain, partial fundoplication, past president, pathologic, per-oral pyloromyotomy, perf, periop management, periop outcomes, peritoneal cavity, pH study, phreneoesophageal ligament, physiologic age, pleural effusion, pneumatic balloon dilatation, pneumatic dilation, pneumo, pneumoperitoneum, POD, POEM, POEM esophagitis grade, Portland experience, post POEM LES pressures, post-myotomoy balloon pressure, post-myotomy compliance, post-op leak, preliminary results, preop, previous abdominal surgery, previous esophageal surgery, prior GI surgery, proctoring, prolonged ventilation, prospective randomized double-blind clinical trial, prospective single center study, prospective, RCT, pt condition, published, randomized controlled data, raw data, recovery room, recurrence rate, redilations, redo lap myotomy, refluxogenic procedure, regurgitation, relaxation pressure, relief of symptoms, representative sampling, retch, retroflex, room air, rule, SAGES, salvage POEM, scarless, scope, series of papers, sigmoid, Sir Thomas Willis, skewed, skin incisions, sling fibers, solid food, sphincter pressure, sponge, SQ emphysema, stomach, submucosal space, submucosal tunnel, success rate, Surgical Endoscopy, surgical interventions, survival animals, swallow, tailoring, The Foundation for Surgical Innovations and Education, thoracic surgeon, thoracotomy, tight GEJ, Toupet fundoplication, traditional therapies, traditional treatments, training, trans-thoracic, translumenal esophageal myotomy, tunnel creation, tweaks, tx, tx of achalasia, uncertain etiology, unchanged, valve, vent, Veress needle, vessels, von Mikulicz, water perfused manometry catheters, water perfused normal LES pressure, white paper, whites, women, work up, working group, worldwide

Video Uploaded By:
Steven DeMeester
Uploaded on
Video Categories
Learning Themes
Presentation Types
Video Authors
Video Institutions

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Reset A Lost Password