Case 1 features a Z-POEM performed on a 65 year old patient with large symptomatic Zenker diverticulum. Patient originally had no significant PMHx and presented with dysphagia to solids and pills, with significant halitosis.

Case 2 features an Anti-reflux POEM procedure on a 31 year old patient with Type 2 Achalasia - initial presentation showed dysphagia, chest pain, regurgitation and weight loss. EGDs performed found tightening at the GE junction and a Eckhardt score of 9.

Case 3 features a Gastric ESD performed on a 3.5 cm adenomatous gastric polyp with high grade dysplasis without deep involvement.

Case 4 ESD of a cecal polyp originally manipulated with hot forceps on two occasions, and treated with APC. DiLumen device approach originally planned, but proved to be inaccessible.