@PLLU@PedsGIChat@AustinChiangMD There is a calculated degree of Goldilocks improvement I then look for - not too lax for reflux and not too tight for dysphagia. Some good studies have been done to calculate this.
@PLLU@PedsGIChat@AustinChiangMD I get a baseline DI & pressure at the start of the procedure and understand what the DI is at the same pressure after the myotomy, under the same anesthetic conditions.
@PatReevesMD@drkeithsiau@DrDLerner As with any endoscopy:
1) Strive to be well trained (competently competent)
2) Learn how to manage endoscopic complications endoscopically
3) Know your limits
@PedsGIChat@PLLU@nationwidekids@deslilo @KarenDiefenbach At the end of the day, this is a challenging population that we are still learning much about from the physiologic end, but there is a TON of interest in G-POEM and Gastric Electrical Stimulation!
@PedsGIChat@davidvitale With all this technology available to us today, there’s no reason to make this child wait by getting MRCP (esp when NPV is 60%!), or even checking daily labs.