Pneumatic dilation and laparoscopic Heller’s myotomy (LHM) are established treatments for idiopathic achalasia. Peroral endoscopic myotomy (POEM) is a less invasive therapy with promising early study ...
The extension of the myotomy onto the gastric wall (clearly the most critical and challenging part of the operation) proved difficult because of poor exposure, with the consequent risk of a short ...
An endoscope with a transparent cap enters through a 2 cm mucosal incision into the submucosal “third” space, approximately 5 cm proximal to the lower esophageal sphincter. Four distinct tissue layers ...
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