Australia’s first POEM procedure teaching course - Report


Photo: Dr Geoff Kohn with Dr Jeffrey Marks

On 11-12 December 2015, Dr Geoff Kohn and the Melbourne Upper GI Surgical Group hosted Australia’s first POEM (Peroral endoscopic myotomy) teaching course. Joining Dr Kohn as faculty for this course was Dr Jeffrey Marks an international POEM expert from Cleveland, Ohio in the USA, and Dr Robert Chen gave a lecture on a similar procedure called ESD (endoscopic submucosal dissection).

Twelve Australian surgeons and gastroenterologist came to the course to learn the POEM procedure from Drs Kohn, Marks and Chen. Read More...

What are the symptoms of GORD, and what should I do about them? Is my cough due to GORD?

In response to a question on

GORD, or Gastro-Oesophageal Reflux Disease (sometimes called GERD for those who spell oesophagus without the ‘o’) is a condition which develops when the stomach contents rise into the oesophagus (the food pipe) and causes troublesome symptoms. The stomach contents are usually acidic, but not always so. Read More...

I have difficulty swallowing and have been diagnosed with achalasia. Are there any new treatments?

In response to a question on

Achalasia is one of the ineffective oesophageal motility disorders. Usually, the oesophagus (the food pipe) transmits food downwards by a sequence of controlled and well-timed contractions (called ‘peristalsis’). This is why most people can drink water through a straw while standing on their head (if they wanted to!). People with achalasia cannot, because the contractions of their oesophagus are absent. Read More...

Can my hernia be repaired with a “keyhole” operation?

In response to a question on

In very general terms, the answer is “yes”! All types of hernia can be repaired “laparoscopically”. During a laparoscopic (keyhole) operation, your surgeon makes a few small incisions. One allows the placement of a small camera inside, and the other incisions allow placement of narrow instruments inside to allow the performance of the operation. Read More...

I have gallbladder problems – what are my options?

In response to a question on

The gallbladder is a pear-shaped organ that lies below the liver. One of the jobs of the liver is to make bile that passes down the bile duct to mix with food in the small intestine, and aid in digestion. Some of this bile is diverted to the gallbladder for storage. When food, particularly fatty food travel thought the gut, the gallbladder contracts in order to squeeze out some bile into the gut to further facilitate digestion. Read More...

Heartburn, heart attack or angina?

In response to a question on

Having pain in the chest may be a sign of a life-threatening medical emergency or the sign of something less urgent, but how do you tell? Read More...

American College of Surgeons conference

Geoff Kohn is attending the annual scientific meeting of the American College of Surgeons in San Fransisco. Oesophageal physiology is advancing at a rapid pace with Geoff at the forefront of this field.

New Manoscan has arrived

Geoff Kohn has taken delivery of the latest Manoscan, an updated model which has the same high-definition manometry features as the previous machine but which is much more portable. The majority of procedures are still done at Knox, but Geoff is now able to offer oesophageal physiology and pH studies at other centres.