Endoscopic Pyloromyotomy (G-POEM) and Per-Rectal Endoscopic Myotomy (PREM)
Symptom None Very mild Mild Moderate Severe Very severe 1 Nausea (feeling sick to your stomach as if you were going vomit or throw up) 0 1 2 3…
for Endoscopic Suturing
Fig. 25.1 Demonstrations of the Overstitch endoscopic suturing device including (a) the Olympus double channel therapeutic gastroscope with needle driver attached, (b) OverStitch system with handle and needle driver (needle…
Mucosal Resection of the Esophagus
Fig. 2.1 Example of Barrett’s esophagus using high-definition white-light endoscopy Fig. 2.2 Example of Barrett’s esophagus under narrow-band imaging (NBI) Fig. 2.3 Visible lesion under white-light endoscopy using near focus…
Full-Thickness Resection (EFTR) and Submucosal Tunneling Endoscopic Resection (STER)
Study N Site Mean size (mm) Indication Success R0 Adverse events Follow-up Recurrence Schmidt et al. [36] (2014) 3 Colon 22 mm Recurrent non-lifting adenoma 100% 100% No 3–6 m…
Endoscopic Myotomy: Endoscopic Techniques
Fig. 18.1 (a) Prominence of the spine seen posteriorly in the esophagus. (b) Schematic representation of esophageal landmarks and myotomy location. LHM laparoscopic heller myotomy Technique POEM has evolved significantly…
Pragmatic Approach to Complex Colon Polyps
Fig. 4.1 Paris endoscopic classification of superficial neoplastic colorectal lesions Such morphological classifications serve not only to standardise descriptions of LSLs but also convey important information regarding SMI risk within…
Efficacy, Safety, Training, and Competency
Study, year Number of patients Follow-up in month Posttreatment reflux, % Efficacy, % Peng, 2017 [25] POEM 13 LHM 18 54.2 No significant difference in GERD POEM 83.3 LHM 83…
Pre-procedural Work-Up and Indications
Fig. 17.1 High-resolution manometry parameters. (Courtesy of the Northwestern Esophageal Center) Once the IRP is determined, the next step in making a manometric diagnosis is to determine the peristaltic activity…
