Modified peroral endoscopic myotomy: a "Push and Pull" technique.

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Modified peroral endoscopic myotomy: a "Push and Pull" technique.

Surg Endosc. 2017 Oct 19;:

Authors: Zhang DF, Chen WF, Xu MD, Zhong YS, Zhang YQ, Li QL, Zhou PH

Abstract
BACKGROUND: Peroral endoscopic myotomy (POEM) is a minimally invasive yet challenging procedure for achalasia. Additional technological innovations and improvements are important for simplifying the procedure.
METHODS: We report the successful use of a modified POEM procedure, which utilized a "Push and Pull" technique, on a patient with achalasia.
RESULTS: Our modifications resulted in a short operation time of only 35 min. No complications arose during or after the procedure, up to a follow-up period of 6 months, and symptoms were significantly and quickly improved.
CONCLUSIONS: This modified procedure shortens operation time and lowers the difficulty of the operation, while leaving the safety and efficacy uncompromised.

PMID: 29046961 [PubMed - as supplied by publisher]

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