Can we improve the visual field and, consequently, the safety of a POEM? I think so! #GelImmersion #POEM POEM in advanced megaesophagus after recurrence following Heller’s myotomy

@yuvalpatelMD Thank you very much. Indeed, the first clip defines it.

@CarlosA42746128 Certamente prof. Seria um grande orgulho para mim

@DouglasAdlerMD I use the extraction balloon to compress the bleeding by inflating it with cold water instead of air. You can try it.

@amolbapaye Congratulations Amol Bapaye

@FreiGilsonCMES Este ano será um ano de Graça

@vivekgtank @DouglasAdlerMD Nylon

@DrBloodandGuts Excellent. EVAC has been saving many lives. I advocate for its prophylactic use. In the future, it will be regarded much like an airbag is seen in a car today. It will not prevent all complications, but it will make them significantly less severe. This has been my experience.

@drkeithsiau In these cases, we have developed a ligation kit to use Endogel with a single shot.

@drkeithsiau Thank you very much! We are using a product called Endogel, developed here in Brazil. However, in Japan, there is already a similar product called Viscoclear. Our product will be available soon

@mazzaskii 新年明けましておめでとうございます。これからも私たちに知識を伝えていただけますように、よろしくお願いいたします。

@patyparraeppgg

@drkeithsiau EVT for three days only

@DrBloodandGuts

@DrBloodandGuts Gel immersion is an excellent option.

@DrBloodandGuts Normally, my first option is the Coagrasper. However, in this case, the position and alignment are very favorable for the clip.