Peroral endoscopic myotomy (POEM) is a minimally invasive procedure for treating esophageal achalasia. During POEM, carbon dioxide is insufflated under pressure into the esophagus and stomach, which can cause clinically significant capnoperitoneum, capnomediastinum, or capnothorax. We present a case in which gas accumulation in the abdomen during POEM had adverse effects on ventilation. Once th...

BACKGROUND Peroral endoscopic myotomy (POEM) as a new approach to achalasia attracts broad attention. The primary objective of this study was to evaluate the results with esophageal motility after POEM through the first large sample clinical research. PATIENTS AND METHODS We have a self-control research with all patients (205 in total) who underwent POEM from 2010 to 2014 at our Digestive End...

We aimed to assess the short-term outcomes of per-oral endoscopic myotomy (POEM) compared with laparoscopic Heller myotomy (LHM) for achalasia through a meta-analysis of nonrandomized comparative studies.We searched PubMed, Embase, Medline, Cochrane Library, and Google Scholar for studies that compared POEM and LHM for achalasia and were published between January 1, 2008 and December 31, 2014. ...

Sundown of the twentieth century saw the emergence of the World Wide Web. A decade later, semantic web (SW) envisioned enriching of web-accessible information and services with machine-processable semantics to solve the problems of information management and sharing which are aroused by the success of the web. However, success of the SW largely depends on the availability of formal ontologies f...

Despite renewed interest in roles played by Christianity in the poetry of Elizabeth Barrett Browning (EBB), few scholars have discussed her treatment of the body of Christ—understood as both the figure of Christ and his body of followers—in her antislavery poem, “The Runaway Slave at Pilgrim’s Point”. This article argues that “The Runaway Slave” reworks portrayals of the body of Christ in trans...

BACKGROUND High-resolution manometry (HRM) has improved the accuracy of manometry in detecting achalasia and has helped distinguish between clinically relevant subtypes. This study investigated whether HRM metrics correlate with the achalasia symptoms and symptomatic outcomes of peroral esophageal myotomy (POEM). METHODS Of the 30 patients who were enrolled, 25 were treated with POEM, 12 of w...

BACKGROUND AND STUDY AIMS Although peroral endoscopic myotomy (POEM) is being performed more frequently, the learning curve for gastroenterologists performing the procedure has not been well studied. The aims of this study were to define the learning curve for POEM and determine which preoperative and intraoperative factors predict the time that will be taken to complete the procedure and its d...

is an idiopathic motility disorder that results from degeneration of the myenteric plexus in the wall of the esophagus and the lower esophageal sphincter (LES). 1 In esopha-geal manometry, achalasia is characterized by impaired relaxation of LES and loss of peristalsis in the body of the esophagus. Achalasia results in severe dysphagia for solids and liquids. Additional symptoms can also develo...

BACKGROUND Although there are screening tools to aid clinicians in assessing the risk of opioid misuse, an instrument to assess opioid-related knowledge is not currently available. The purpose of this study was to develop a content-valid, understandable, readable, and reliable Patient Opioid Education Measure (POEM). METHODS Using concept mapping, clinicians caring for patients with chronic p...

Classical Arabic poetry, which constitutes an important aspect of Islamic Civilization, has a critical function in understanding texts, especially the Qur'an and hadith. In this context, poetry Jahiliyyah, is source Qur'an's style its expressive power (expression/utterance), terms having mentioned function. The work, was introduced, fills significant gap field by referring to indicated poem Jah...