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Review

Peroral Endoscopic Myotomy as a Novel Treatment for Achalasia: Patient Selection and Perspectives

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Pages 485-495 | Published online: 03 Nov 2020

Figures & data

Figure 1 (A) Frothy secretion seen in mid esophagus, and (B) food debris in lower esophagus and tight GEJ.

Figure 1 (A) Frothy secretion seen in mid esophagus, and (B) food debris in lower esophagus and tight GEJ.

Figure 2 Dilated esophagus with retained barium and tapered bird beak appearance at GEJ.

Figure 2 Dilated esophagus with retained barium and tapered bird beak appearance at GEJ.

Figure 3 Stepwise illustration of POEM procedure. (A) Mucosal incision and submucosal injection, (B) creation of submucosal tunnel, (C) distal esophageal circular muscle dissection and myotomy, and (D) closure of mucosal incision using endoscopic clips.

Figure 3 Stepwise illustration of POEM procedure. (A) Mucosal incision and submucosal injection, (B) creation of submucosal tunnel, (C) distal esophageal circular muscle dissection and myotomy, and (D) closure of mucosal incision using endoscopic clips.