OBJECTIVE To compare swallowing outcomes following cricopharyngeal (CP) dilation versus surgical myotomy in patients with dysphagia secondary to idiopathic CP bar. METHODS All patients had an idiopathic CP bar without a history of Zenker's diverticulum, head and neck cancer, or systemic neurologic disease treated between 2000 and 2013. The Functional Outcome Swallowing Scale (FOSS) was utiliz...

More and more endoscopically gastrointestinal procedures require anesthesiologists to perform general anesthesia, such as "peroral endoscopic myotomy". Peroral endoscopic myotomy is a novel invasive treatment for the primary motility disorder of esophagus, called esophageal achalasia. Despite of its minimally invasive feature, there are still complications during the procedure which develop to ...

Achalasia cardia is a motility disorder characterised by failure of relaxation the lower oesophageal sphincter (LES) and associated with lack peristalsis in body oesophagus. The mainstay treatment achalasia to reduce LES pressure improve emptying gravity. LHM still considered gold standard against which other methods are compared. records all patients who underwent surgery for between August 20...

Background. Here we aimed to evaluate and compare the efficacy and safety between partial full-thickness myotomy and circular muscle myotomy during POEM procedure in achalasia patients. Methods. Clinical data of achalasia of cardia (AC) patients who underwent POEM in our center during January 2014 to January 2015 was collected (34 cases). 19 patients who received partial full-thickness myotomy ...

OBJECTIVE To determine whether cricopharyngeal myotomy can improve dysphagia associated with head and neck cancer surgery. DESIGN Prospective, randomized, multicenter trial. SETTING Twelve clinical sites across the United States. PATIENTS Between 1989 and 1994, 125 patients undergoing combined modality therapy for head and neck cancer, including resection of the tongue base or supraglotti...

Dear Editor, Laparoscopy was first used for the evaluation of acute abdominal pain in pregnancy by gynaecologists in 1980.1 The most commonly reported laparoscopic procedure during pregnancy is laparoscopic cholecystectomy.2 Achalasia of the cardia is an oesophageal motor disorder, whose incidence in pregnancy is not known. As far as we know, there has been no report of laparoscopic Heller’s ca...

TO THE EDITOR: We thank the author for his interest in our manuscript. During the transoral incisionless fundoplication (TIF) procedure, a retractor is anchored at the esophagogastric junction (EGJ) after which tension is applied to advance the EGJ caudally. Therefore, we agree that lengthening of the EGJ is a substantial mode of action of the TIF procedure. In addition, transmural placement of...