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Zenker's peroral endoscopic myotomy for treating zenker's diverticulum in an elderly patient: a case report and literature review. [PDF]
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Gastrointestinal Endoscopy, 2021
Although laparoscopic Heller myotomy (LHM) or peroral endoscopic myotomy (POEM) is highly effective, 10% to 20% of patients with achalasia remain symptomatic after treatment. In evaluating such patients, we have observed a pattern of failure associated with a pseudodiverticulum, or blown-out myotomy (BOM), in the distal esophagus.
Amanda J Krause, Dustin Carlson
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Although laparoscopic Heller myotomy (LHM) or peroral endoscopic myotomy (POEM) is highly effective, 10% to 20% of patients with achalasia remain symptomatic after treatment. In evaluating such patients, we have observed a pattern of failure associated with a pseudodiverticulum, or blown-out myotomy (BOM), in the distal esophagus.
Amanda J Krause, Dustin Carlson
exaly +3 more sources
In patients with persistent symptoms after Heller myotomy (HM), treatment options include repeat HM, pneumatic dilation, or peroral endoscopic myotomy (POEM).
Valerio Balassone +2 more
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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2021
Background: Antegrade approach myotomy is usually performed in peroral endoscopic myotomy (POEM) for achalasia cardia. This study assessed the feasibility of retrograde approach as an alternative. Methods: This is a retrospective review of a prospectively maintained database of ...
Harshal S, Mandavdhare +9 more
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Background: Antegrade approach myotomy is usually performed in peroral endoscopic myotomy (POEM) for achalasia cardia. This study assessed the feasibility of retrograde approach as an alternative. Methods: This is a retrospective review of a prospectively maintained database of ...
Harshal S, Mandavdhare +9 more
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Surgical Clinics of North America, 2020
Achalasia is a neurodegenerative disorder of the lower esophagus characterized by high lower esophageal pressures and aperistalsis of the esophageal body. It remains a difficult to treat disease with significant burden on patients due to difficulty swallowing leading to malnutrition.
Sabrina, Drexel +2 more
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Achalasia is a neurodegenerative disorder of the lower esophagus characterized by high lower esophageal pressures and aperistalsis of the esophageal body. It remains a difficult to treat disease with significant burden on patients due to difficulty swallowing leading to malnutrition.
Sabrina, Drexel +2 more
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The Technique of Cricopharyngeal Myotomy
Surgical Clinics of North America, 1983The surgical approach for section of the cricopharyngeus muscle in the treatment of oropharyngeal dysphagia is outlined.
A C, Duranceau +2 more
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Endoscopic Myotomy for Achalasia
Advances in Surgery, 2014POEM is an effective treatment of functional manometric esophageal outflow obstructive disorders with excellent relief of dysphagia. Reflux rates seem to be similar to that seen with traditional Heller myotomy with fundoplication. The POEM technique provides a true surgical esophageal myotomy without incisional pain.
Christy M, Dunst +2 more
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Endoscopy
AbstractBlown-out myotomy (BOM) may impair the discharge of esophageal contents, leading to recurrent symptoms following myotomy. This study aimed to evaluate the safety and effectiveness of salvage peroral endoscopic myotomy (POEM) for symptomatic BOM.Between August 2011 and August 2022, 77 patients with recurrent achalasia with BOM and 168 with ...
Zhao-Chao, Zhang +13 more
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AbstractBlown-out myotomy (BOM) may impair the discharge of esophageal contents, leading to recurrent symptoms following myotomy. This study aimed to evaluate the safety and effectiveness of salvage peroral endoscopic myotomy (POEM) for symptomatic BOM.Between August 2011 and August 2022, 77 patients with recurrent achalasia with BOM and 168 with ...
Zhao-Chao, Zhang +13 more
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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2003
MIS continues to evolve with the introduction of new techniques and technology. This report discusses the use of "needlescopic" technology in the surgical management of achalasia. Heller myotomy procedures performed between January 1, 1997, and July 1, 2000, were analyzed and the results of 14 needlescopic procedures were compared with 15 laparoscopic ...
P M, Chiasson +4 more
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MIS continues to evolve with the introduction of new techniques and technology. This report discusses the use of "needlescopic" technology in the surgical management of achalasia. Heller myotomy procedures performed between January 1, 1997, and July 1, 2000, were analyzed and the results of 14 needlescopic procedures were compared with 15 laparoscopic ...
P M, Chiasson +4 more
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Laparoscopic myotomy in achalasia: intraoperative evidence for myotomy of the gastric cardia *
Diseases of the Esophagus, 1999The myotomy performed for achalasia of the esophagus should divide all of the constricting, diseased muscular elements that obstruct the esophagogastric junction (EGJ). Whether the disease process includes proximal gastric as well as esophageal components is as yet unclear, but anatomic evidence complemented by clinical data suggest that the disease ...
P E, Donahue +3 more
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