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.

Publication History

Article published online:
14 April 2022