As experience grows with peroral endoscopic myotomy (POEM), operators are taking on
more anatomically challenging cases. Additionally, we are now seeing patients who
relapse after a prior POEM. Therefore, the operator must be aware of the steps necessary
to adequately investigate and treat such patients. For example, it is of no benefit
to continue to target the lower esophageal sphincter if this already has been treated
effectively. We herein present 2 different teaching cases in which 2 POEM procedures
(double POEM) were performed in each of the patients (Video 1, available online at www.giejournal.org).
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Article info
Publication history
Published online: June 25, 2015
Todd H. Baron, MD, G. S. Raju, MD, Editors for VideoGIEIdentification
Copyright
© 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.