Results 171 to 180 of about 8,553 (221)

Blown-out myotomy: an adverse event of laparoscopic Heller myotomy and peroral endoscopic myotomy for achalasia

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 Krause, Dustin A Carlson
exaly   +3 more sources

Efficacy and Safety of Peroral Endoscopic Myotomy for Treatment of Achalasia After Failed Heller Myotomy [PDF]

open access: yesClinical Gastroenterology and Hepatology, 2017
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
exaly   +2 more sources

Retrograde Myotomy as an Alternative to Antegrade Myotomy in Peroral Endoscopic Myotomy (POEM) for Achalasia Cardia – Is It Better?

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
openaire   +2 more sources

Peroral Esophageal Myotomy

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
openaire   +2 more sources

Endoscopic Myotomy for Achalasia

Advances in Surgery, 2014
POEM 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
openaire   +2 more sources

Peroral endoscopic myotomy for symptomatic blown-out myotomy following previous myotomy for achalasia

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
openaire   +2 more sources

The Technique of Cricopharyngeal Myotomy

Surgical Clinics of North America, 1983
The surgical approach for section of the cricopharyngeus muscle in the treatment of oropharyngeal dysphagia is outlined.
A C, Duranceau   +2 more
openaire   +2 more sources

“Needlescopic” Heller Myotomy

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
openaire   +2 more sources

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