INTRODUCTION – Achalasia is a rare esophageal motility disorder. The gold standard of treatment is Laparoscopic Heller Myotomy (LHM). Per-oral endoscopic myotomy (POEM) is a novel endoscopic treatment. There had only been a few studies comparing POEM with LHM. The aim of this study was to report the early outcomes of per-oral endoscopic myotomy (POEM) compared with Laparoscopic Heller Myotomy (LHM) in Rajavithi Hospital.
METHODS AND PROCEDURES – A retrospective review of 33 patients who underwe
Case Report:
Treatment of esophageal perforation remains a challenging problem. Options include diversion, resection, primary repair, or stenting across defects, however esophageal perforations carry a high mortality rate ranging from 10% to 40%. Esophageal perforation can be caused by iatrogenic injury, Boerhaave syndrome, and traumatic perforation by swallowed foreign bodies and blunt trauma. We present a case of a large esophageal perforation after inflation of a Sengstaken-Blakemore (SB) tu
Introduction:
The most widely studied of the minimally invasive endoscopic therapies for obesity is the gastric balloon (GB).
Here we describe two cases of endoscopic balloon placement in which balloons did not inflate properly without causing any immediate or long term complications.
Case 1:
36 years old female patient applied to our out patient clinic for treatment of her obesity. Her body mass index was 41.1kg/m². Under sedation Heliosphere BAG® (Helioscopie,Vienne, France) was inserted o
Introduction: Peroral endoscopic myotomy (POEM) is a novel intervention for the treatment of achalasia, which combines the advantages of endoscopic access and myotomy. Although initial results have been encouraging, laparoscopic Heller myotomy (LHM) and pneumatic dilation (PMD) are currently considered the standar of care. Over the last 8 years nearly 4,000 POEM have been performed worldwide but no randomized control trials have been reported. The purpose of this study is to perform a systematic
Introduction
Achalasia is an esophageal dysmotility disorder, affecting approximately 1 in 100,000 people, and is characterized by inadequate or impaired relaxation of the lower esophageal sphincter, with absent or disordered peristalsis of the esophagus. It can result in debilitating dysphagia, odynophagia, regurgitation, and in severe cases, weight loss and malnutrition. Medical therapy, consisting of calcium channel blockers and nitrates, can provide some symptomatic relief in early or mild