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- W2030897146 abstract "Peroral endoscopic myotomy is a novel approach for treatment of esophageal motility disorder through flexible endoscopy without surgical incisions. Reoperation for recurrent achalasia after Heller's is difficult due to dense intra-abdominal adhesions. This case video illustrated successful treatment of recurrent achalasia after Heller myotomy. A 62 year old gentleman was diagnosed to have achalasia in 1989. He was treated with open Heller's cardiomyotomy. After treatment his dysphagia was initially relieved. But he developed increasing dysphagia since 12 months ago with poor tolerance to fluid and soft diet. Upper endoscopy showed tight gastroesophageal junction, and high resolution manometry confirmed recurrent achalasia with 100% aperistalsis and failed relaxation of the lower esophageal sphincter (LES). The basal pressure of the LES was 51 to 63mmHg. We decided to perform PerOral Endoscopic Myotomy for treatment of the recurrence of Achalasia after open Heller's myotomy." @default.
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- W2030897146 date "2012-04-01" @default.
- W2030897146 modified "2023-10-04" @default.
- W2030897146 title "Sp952 PerOral Endoscopic Myotomy (P.O.E,M.) for Treatment of Recurrent Achalasia After Open Heller's Myotomy" @default.
- W2030897146 doi "https://doi.org/10.1016/j.gie.2012.03.206" @default.
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