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DOI: 10.1055/s-0042-1745098
SUCCESSFUL TREATMENT OF ACHALASIA TYPE II WITH POEM
A 50-year-old female with Achalasia II, presented with an Eckardt score of 9.
After submucosal injection, a mucosal incision was made using a triangular knife (Endocut current) at the posterior-lateral wall. The tunnel was entered and submucosal dissection was performed with spray coagulation extending the tunnel to 2 cm below the gastric cardia.
Following that myotomy was started 6 cm above the GE junction and extended till 2 cm into the gastric cardia.
The tunnel entry was closed with clips.
A water-soluble esophagram the following day showed no leak.
Follow-up 3 months later, she has no dysphagia.
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Publication History
Article published online:
14 April 2022
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