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...

A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophago-gastro-duodenoscopy, esophageal manometry, 3D computed tomography scan showed right-sided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hyperte...

A 58-year-old patient underwent an esophageal epiphrenic diverticulum resection with a video thoracoscopic approach. The surgery was complicated by an esophageal pleural fistula, which was successfully treated using a fully covered self-expandable metal stent. One week after stent removal the patient experienced dysphagia and vomiting. The endoscopy showed a short esophageal stenosis in the pro...

Perforation of the Meckel's diverticulum due to tuberculosis is a rare phenomenon. A 45 years old male who presented with perforation peritonitis was found to have a synchronous dual perforation involving the ileum and the Meckel's diverticulum, due to intestinal tuberculosis. In addition to this, the Meckel's diverticulum was found to have a daughter diverticulum (diverticulum within diverticu...