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 ...

relaxing the pressure on the esophagus and allowing food to pass into the stomach with less resistance. The small incision is closed using endoscopic clips, and the endoscope is withdrawn from the ...

The goal is to open part of the lower esophagus to make swallowing easier. Another surgical option is called peroral endoscopic myotomy, or POEM. With this procedure, doctors don’t have to cut ...

A laparoscopic Heller myotomy is a surgical procedure used to treat achalasia, a condition in which the esophagus doesn't push food and liquid into the stomach normal and lower esophageal sphincter ...

(a) Diagnosed with achalasia; (b) Underwent peroral endoscopic myotomy (POEM) surgery for achalasia; (c) Severe reflux symptoms 23 months later; (d) Esophageal squamous cell carcinoma located 25 ...

Dr. Hannon also performs peroral endoscopic myotomy (POEM) for the treatment of achalasia ... He also places endoscopic stents to facilitate passage of food through the esophagus and small bowel. Dr.

This mistake hampers the performance of the most delicate portion of the operation, the myotomy of the distal portion of the esophagus and the stomach. Sometimes, chest wall bleeding occurs as a ...