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Case Reports
. 2024 Dec;56(S 01):E456-E457.
doi: 10.1055/a-2317-5012. Epub 2024 Jun 5.

"You gotta lift to get ripped": injection lift myotomy

Bianca L Di Cocco  1 , Donevan R Westerveld  2 , David Carr-Locke  2 , Kartik Sampath  2 , Reem Z Sharaiha  2 , SriHari Mahadev  2
Affiliations
Case Reports

"You gotta lift to get ripped": injection lift myotomy

Bianca L Di Cocco et al. Endoscopy. 2024 Dec.
No abstract available

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Conflict of interest statement

D. Carr-Locke is a consultant for Boston Scientific and has received royalties from Steris Corporation. R. Sharaiha is a consultant for Boston Scientific, Olympus, and Cook Medical. S. Mahadev is a consultant for Conmed and Boston Scientific. B. L. Di Cocco and D. R. Westerveld declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Endoscopic images. a A mixture of saline and methylene blue was injected into the submucosa as in a standard peroral endoscopic myotomy procedure. b An incision was then created to enter the submucosal space.
Fig. 2
Fig. 2
A submucosal tunnel was created, reaching 3 cm distal to the gastroesophageal junction.
Fig. 3
Fig. 3
In the injection lift myotomy technique, a mixture of saline and methylene blue is injected into the muscular propria layer, allowing for better visualization of muscle fibers and vessels.
Fig. 4
Fig. 4
Selective myotomy of the circular muscle bundle was then performed.
Fig. 5
Fig. 5
The results after selective circular myotomy.
See this image and copyright information in PMC

References

    1. Kohn G, Dirks R, Ansari M et al.SAGES guidelines for the use of peroral endoscopic myotomy (POEM) for the treatment of achalasia. Surg Endosc. 2021;35:1931–1948. doi: 10.1007/s00464-020-08282-0. - DOI - PubMed
    1. Inoue H, Minami H, Kobayashi Y et al.Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy. 2010;42:265–271. doi: 10.1055/s-0029-1244080. - DOI - PubMed
    1. Simkova D, Mares J, Vackova Z et al.Periprocedural safety profile of peroral endoscopic myotomy (POEM) – a retrospective analysis of adverse events according to two different classifications. Surg Endosc. 2023;37:1242–1251. doi: 10.1007/s00464-022-09621-z. - DOI - PubMed