Sigmoid Myotomy [Abridged]

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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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Long-term outcome of Heller myotomy in achalasic sigmoid esophagus.

OBJECTIVE We sought to assess the long-term outcome of Heller myotomy and anterior fundoplication in patients with achalasic sigmoid esophagus. METHODS Fourteen patients with achalasia and sigmoid esophagus (median age, 42.5 years) operated on by the same surgeon through a laparotomy (n = 8) or laparoscopic approach (n = 6) between 1985 and 2000 were evaluated. According to a 4-grade classifi...

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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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ژورنال

عنوان ژورنال: Proceedings of the Royal Society of Medicine

سال: 1964

ISSN: 0035-9157

DOI: 10.1177/003591576405700708