Background and study aims  Peroral endoscopic myotomy (POEM) can be performed via an anterior or posterior approach, depending on the operator's preference. Data are lacking on comparative outcomes of both approaches. Patients and methods  This is a pilot randomized study comparing endoscopic anterior and posterior myotomy during POEM in patients with Achalasia cardia (AC). Patients were rand...

The growing importance of software ecosystems and open innovation requires that companies become more intentional about aligning their internal strategy, architecture and organizing efforts with the ecosystem that the company is part of. Few models exist that facilitate analysis and improvement of this alignment. In this paper, we present the ESAO model and describe its six main components. Org...

In today's competitive world corporate survival requires special attention to innovation. Given the key role of intellectual capital in corporate innovation capability, this article is written with the aim of provide a model to promote organizational innovation through human capital management and knowledge sharing. The population in this study is managers, directors and experts from 13 industr...

In today's competitive world corporate survival requires special attention to innovation. Given the key role of intellectual capital in corporate innovation capability, this article is written with the aim of provide a model to promote organizational innovation through human capital management and knowledge sharing. The population in this study is managers, directors and experts from 13 industr...

esophageal spasm Diffuse esophageal spasm (DES) is a rare esophageal dysmotility condition characterized by simultaneous contractions of the distal esophagus and manifested by dysphagia and chest pain. Pharmacological therapy, endoscopic interventions, and surgical myotomy have been linked to various outcomes [1,2]. Recently, peroral endoscopic myotomy (POEM) has been introduced as an effective...