Case Study

Per-oral Endoscopic Myotomy Using a Novel Bipolar Speedboat Device

A 50 year old male patient presented with dysphagia to solids and regurgitation for three years. Evaluation with endoscopy revealed dilated oesophagus and resistance at gastroesophageal junction. 

High resolution oesophageal manometry suggested type II achalasia cardia. Per-oral endoscopic myotomy (POEM) was planned in this case. 

The POEM procedure was performed via posterior route (5 o’clock). The device used in this case series was the Speedboat Inject: a multi-functional device that offers both advanced bipolar radiofrequency (RF) energy for submucosal dissection (400 KHz and 35 W) and microwave energy for coagulation (frequency 5.8 GHz, power setting 10 W). 

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Dr Zaheer Nabi

Dr Zaheer Nabi,
Consultant Gastroenterologist

Asian Institute of Gastroenterology,
Hyderabad, India

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