Endoscopy 2020; 52(S 01): S168
DOI: 10.1055/s-0040-1704516
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 11:00 – 11:30 Per Oral Endoscopic Myotomy (POEM) ePoster Podium 1
© Georg Thieme Verlag KG Stuttgart · New York

FLUOROSCOPY GUIDED POEM IN A SIGMOID ESOPHAGUS

H Uchima
1   Hospital Germans Trias i Pujol/Teknon Medical Center, Barcelona, Spain
,
I Marin
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
J Colan
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
EN Caballero
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
A Aguilar
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
I Iborra
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
M Calafat
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
M Mañosa
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
E Domenech
2   Hospital Germans Trias i Pujol, Badalona, Spain
,
VM de Vega
2   Hospital Germans Trias i Pujol, Badalona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Background Tunneling could be complicated in cases of esophageal tortuosity.

A 32 years female with long history type I Achalasia with previous Heller. Clinical relapse and radiologic Sigmoid Esophagus.

Endoscopic findings POEM performed in supine. Mucosotomy with muscularis mucosa thickening. During tunneling, detour is notice and the path corrected following the circular muscularis propria fibers and checking esophageal tunnel lifting. Following, penetrating vessels are seen interpreted as the tunnel end. Due to tortuosity, fluoroscopy is used to confirm endoscope strengthened position. Myotomy and mucosal closure is performed.

Conclusions Fluoroscopy and circular muscularis propria fibers could be guides in sigmoid Esophagus during POEM.