UNLABELLED BACKGROUND Although Heller myotomy is one of the most effective treatments for achalasia, it may be associated with early or late symptom relapse in some patients. Therefore, additional treatment is required to achieve better control of symptoms. AIM To evaluate the safety and efficacy of pneumatic balloon dilation (PBD) in patients with symptom relapse after Heller myotomy. METHOD...

BACKGROUND/AIMS Per-oral endoscopic myotomy (POEM) is a new minimally invasive technique to treat achalasia. METHODS We performed a review of the literature of POEM with a special focus on technical details and the results obtained with this technique in patients with achalasia and other esophageal motility disorders. RESULTS Thousands of POEM procedures have been performed worldwide since ...

BACKGROUND AND STUDY AIM Per oral endoscopic myotomy (POEM) is a complex technique used in achalasia. Preclinical training is essential but little is known about the number of procedures needed. The aim of this study was to determine the number of procedures required to master POEM in an animal model. PATIENTS AND METHODS This prospective comparative study was conducted in two swine models at...

background although heller myotomy is one of the most effective treatments for achalasia, it may be associated with early or late symptom relapse in some patients. therefore, additional treatment is required to achieve better control of symptoms. aim : to evaluate the safety and efficacy of pneumatic balloon dilation (pbd) in patients with symptom relapse after heller myotomy. methods thirty si...

BACKGROUND Peroral endoscopic myotomy (POEM) is a novel endoscopic technique for the treatment of achalasia. However, there are POEM-associated complications, the most common of which being gas-related. The aim of the current study was to determine the occurrence of and risk factors for gas-related complications of POEM in patients with achalasia. METHODS Retrospective analyses were performed...

The aim of this study is to examine the effectiveness with which Heller's myotomy can be performed laparoscopically in a Caribbean setting as a treatment for achalasia. Sixteen consecutive patients treated by the same surgeon were studied. Postoperative questionnaires that assessed symptomatology, complications and overall patient satisfaction with the procedure were utilized. The mean length o...

In adult congenital muscular torticollis (CMT) patients, physical therapy is not as effective because the development of sternocleidomastoid muscle (SCM) muscle is complete. While surgical release can address CMT in adult patients, the risk of general anesthesia and visible postoperative scar is a concern, expecially in patients with mild symptoms. In this paper, we report our experience in tre...

AIM To investigate changes in fundus excyclotorsion after inferior oblique myectomy or myotomy. METHODS The records of 21 patients undergoing strabismus surgery by a single surgeon between 2009 and 2012 were examined. Only patients who had undergone an inferior oblique myectomy or myotomy, with or without horizontal rectus muscle surgery, were evaluated. Digital fundus photographs were obtain...

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...

We report the laparoscopic resection of an extraesophageal leiomyoma and an epiphrenic traction diverticulum; in addition, myotomy and fundoplication were performed. This has not been reported previously as a laparoscopic combination. No complications were encountered.