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Balloon tamponade for control of myotomy bleeding during peroral endoscopic myotomy
Andrew M Joelson1, Sara Welinsky1, Amrita Sethi1
1Division of Digestive and Liver Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, New York.
Insights
This video demonstrates balloon tamponade, a technique used to control bleeding during peroral endoscopic myotomy (POEM). It offers a visual guide for managing this common complication in POEM procedures.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Peroral endoscopic myotomy (POEM) is a minimally invasive procedure for esophageal motility disorders.
- Bleeding is a potential complication during POEM, requiring effective management strategies.
Purpose of the Study:
- To visually demonstrate the application of balloon tamponade for controlling intraprocedural bleeding during POEM.
- To provide a practical guide for endoscopists managing bleeding complications in POEM.
Main Methods:
- The video showcases the step-by-step technique of deploying a balloon tamponade device to achieve hemostasis.
- It illustrates the placement and inflation of the balloon catheter to apply direct pressure to the bleeding site.
Main Results:
- Successful control of bleeding during POEM was achieved using balloon tamponade.
- The technique was shown to be effective in managing intraoperative hemorrhage, allowing the procedure to continue.
Conclusions:
- Balloon tamponade is a valuable and effective endoscopic technique for managing bleeding during POEM.
- This visual demonstration serves as a useful educational tool for improving hemostasis management in POEM procedures.
Abstract:
Video 1Balloon tamponade for control of bleeding during peroral endoscopic myotomy.
Keywords:
CRE, controlled radial expansion
