Abstract
Background During peroral endoscopic myotomy (POEM), use of traditional instruments leads to
an increase in overall time of procedure due to constant exchange of instruments.
Speedboat-RS2 (Creo-Medical, UK) is a novel device which has shown promising results
for endoscopic submucosal dissection of gastrointestinal lesions, but its feasibility,
and safety for POEM is unexplored.
Methods Data from patients who had undergone POEM for achalasia cardia utilizing Speedboat-RS2
was reviewed.
Results Two patients with mean age of 46 years and mean symptom duration of 3 years were included.
Both patients had type II achalasia diagnosed on esophageal manometry. One patient
underwent anterior myotomy and the other posterior approach. Submucosal tunneling
(~15 cm) was achieved in a mean of 20 minutes, myotomy (~ 9 cm) in 8 minutes and the
entire procedure was completed in a mean of 30 minutes with 100 % technical success.
Both patients were discharged the day after the procedure without any immediate adverse
events. At 6 weeks, endoscopy was uneventful and the patients were asymptomatic.
Conclusions Early experience shows that Speedboat-RS2 is feasible for performing POEM with good
safety profile. Submucosal tunneling was relatively quick and coagulation was effective.
Long term studies with a larger patient cohort are warranted.
