986 the Waterjet Necrosectomy Device (Wand): A Novel Instrument for Management of Pancreatic Necrosis

Abstract

expansion of the space followed by electrosurgical dissection of submucosal fibers. Once the muscle is fully exposed, the cricopharyngeus and a small amount of distal muscle is transected. The entry site into the submucosa is then closed using endoscopically deployed clips. Clinical implications: For patients with refractory cricopharyngeal bar who have limited treatment options, c-POEM allows reliable muscular division and may represent a safe and effective solution for this potentially debilitating and challenging condition.