Surgical Video Session

G-POEM for Sleeve Stenosis

Radu Pescarus, MD, FRCSC
Foregut and Bariatric Surgery
Hôpital Sacré-Coeur de Montréal
Assistant Professor, Université de Montréal
Montréal, QC

Dr. Radu Pescarus is an Assistant Professor of Surgery at Université de Montréal. He specializes in minimally invasive bariatric and foregut surgery, as well as therapeutic endoscopy. After completing a Bachelor of Science in Biology at McGill University, Dr. Pescarus continued his medical studies at the Université de Montréal. Once his General Surgery residency was finalized in 2012, he continued his subspecialty training in Canada with a one-year fellowship in bariatric and minimally invasive surgery at McMaster University. Subsequently, he underwent a second fellowship in Portland, USA to further his knowledge in the fields of foregut surgery and therapeutic endoscopy. He is currently Assistant Professor at Université de Montréal and performs his clinical duties in the CIUSSS du Nord-de-l’Île-de-Montréal.

Presentation Overview:

Gastric stenosis is a serious complication following sleeve gastrectomy (SG).  Recently, endoscopic tunneled stricturotomy has been described as a therapeutic option when pneumatic balloon dilatation fails.
 
Described in this video case report is an endoscopic esophago-gastric myotomy (EG-POEM) in the management of pseudo-achalasia secondary to sleeve gastrectomy stenosis. An EG-POEM should be considered a minimally invasive, safe and efficient solution to this complex foregut problem.