Dynamic lumen obstructing angulation in advanced sigmoid-type achalasia successfully treated by additional proximal curve myotomy

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Successful peroral endoscopic myotomy for radical treatment of sigmoid-type esophageal achalasia by Greek gastroenterologists

Peroral endoscopic myotomy (POEM) is currently considered the least invasive, innovative endoscopic intervention for permanent treatment of all types of esophageal achalasia [1]. POEM, however, is a technically demanding procedure, necessitating high-quality endoscopic abilities to manage the individualized technical diffi culties. Herein we report a successful POEM in a 75-year-old male with s...

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Open peroral endoscopic myotomy for achalasia with sigmoid-shaped esophagus.

A 54-year-old woman sought clinical consultation because of a > 27-year history of dysphagia. She had an Eckardt score of 13 and was diagnosed with sigmoid-type achalasia (S2 type, type II) based on esophageal motility testing, upper endoscopy, barium esophagography, and clinical presentations. We investigated a technique of peroral endoscopic myotomy (POEM) performed directly without a submuco...

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[Per-oral endoscopic myotomy in achalasia].

The treatment of patients with achalasia is complex due to a considerably high recurrence rate and risk of treatment-related complications. The per-oral endoscopic myotomy (POEM) is a new endoscopic technique that combines the benefits of a minimally invasive endoscopic procedure with the efficacy of a surgical myotomy. Implementation of the POEM technique may lead to fewer complications, a low...

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Pneumatic dilatation and surgical myotomy for achalasia.

CONTEXT Pneumatic dilatation and surgical (Heller) myotomy are the 2 principal methods for treatment of achalasia. There are no population-based studies comparing outcomes of these 2 treatments in typical practice settings. OBJECTIVE To compare the outcomes of pneumatic dilatation and surgical myotomy for achalasia. DESIGN, SETTING, AND PARTICIPANTS Retrospective longitudinal study using li...

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Laparoscopic Heller myotomy with fundoplication for achalasia.

BACKGROUND AND PURPOSE Laparoscopic Heller cardiomyotomy for the treatment of achalasia can be performed safely. The application of this minimally invasive approach has not been reported in Taiwan. This study assessed the results obtained using this new method in Taiwanese patients. METHODS From January 1998 to December 2000, we recruited 10 patients (3 men, 7 women; average age 37.3 yr) with...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2018

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0044-101017