Presented by Lee L Swanstrom at the Masters Series: The SAGES Masters Take You to Foregut School held during the 2017 SAGES Annual Meeting in Houston, TX on Wednesday, March 22, 2017
Keyword(s): 24 hr pH, ablation, achalasia, acid exposure, acid suppression, algorithm, Angle of His, angulation, aorta, Asia, asthma, balloon dilation, barium esophagram, barium swallow, biopsy, biopsy channel, bipolar, bleb, Botox, botulinum toxin, chest pain, Chicago classification, chronic, circular muscle, community surgeon, conversion rate, covered stent, crural closure, death, dehydration, dilation, dissect, dysphagia, Eckardt score, edema, EGD, electrocautery, EMR, EndoFLIP, endoluminal, endoscopic treatment, endoscopically, endoscopist, endoscopy, endoscopy suite, ESD, esophageal manometry, esophageal perforation, esophagus, Europe, failed Heller, fellows, flex endo, flexible endoscopy, follow-up, foregut, France, full thickness myotomy, GA, gallbladder, gastroesophageal junction, gastrointestinal cancers, GEJ, general anesthesia, GERD, GI cancer, greater curvature, H2 blocker, heartburn, hemostasis, hiatal hernia, high resolution manometry, HRM, hypertrophy, iatrogenic, inguinal hernia, innovative, insurance, interventional procedures, intractable GERD, investigational procedure, jackhammer esophagus, laparoscopic Heller myotomy, laparoscopic treatment, laparoscopically, laparoscopy, learning curve, length of stay, LES, LHM, LOS, lower esophageal sphincter, malpractice, mediastinal, meta-analysis, minimally invasive surgery, MIS, monopolar cautery, mucosa, myotomy, NOTES, obese, obstructive, operative time, outcomes, outpatient, pan-esophageal spastic disorders, partial fundoplication, peptic, pH studies, physiology, plane, POEM, PPIs, pseudoachalasia, pyloroplasty, randomized prospective trials, recurrent, reflux, reflux disease, refractory GERD, regurgitation, residents, spasticity, stricture, submucosal endoscopic esophageal myotomy, surgical treatment, swallowing, symptom, symptomatic, teach, TIF, topography graph, training, work up
Presentation–35 sec
Dx & work-up–2:03
Achalasia subtyping & outcome–3:22
Variable degrees of dilation–4:42 J Gastrointest Surg 2010
Eckardt score–5:20
Spastic & obstructive conditions–5:56
Achalasia tx–6:51 Am J Gastroenterol 2000
World J Gastrointest Endosc 2015
Balloon dilation efficacy & complications–7:51
Surgical tx–8:32
MIS tx for achalasia–8:47 Gut 2016
Submucosal endoscopic esophageal myotomy–10:13 Endoscopy 2007
Endoscopic skill set–11:16
Portland experience–13:36
Indications/contraindications–13:36
Advanced indications–14:57
POEM for esophageal primary motility disorders–15:50 J Gastrointest Surg 2015
Symptom results @ 6 mo–16:15
Clinical response to POEM–16:47 Gut 2016
Complications–17:19
The GERD controversy–18:08
Magnitude of GERD after Heller–18:54 Ann Surg 2004
POEM vs LHM for achalasia–19:59 J Laparoendosc Adv Surg Tech 2015
Conclusion–21:03
Q&A session–21:48