An extended proximal esophageal myotomy is necessary to normalize EGJ distensibility during Heller myotomy for achalasia, but not POEM

@article{Teitelbaum2014AnEP,
  title={An extended proximal esophageal myotomy is necessary to normalize EGJ distensibility during Heller myotomy for achalasia, but not POEM},
  author={Ezra N. Teitelbaum and Nathaniel J. Soper and John E. Pandolfino and Peter J. Kahrilas and Lubomyr Boris and Fr{\'e}d{\'e}ric Nicod{\`e}me and Zhiyue Lin and Eric S. Hungness},
  journal={Surgical Endoscopy},
  year={2014},
  volume={28},
  pages={2840-2847}
}
For laparoscopic Heller myotomy (LHM), the optimal myotomy length proximal to the esophagogastric junction (EGJ) is unknown. In this study, we used a functional lumen imaging probe (FLIP) to measure EGJ distensibility changes resulting from variable proximal myotomy lengths during LHM and peroral esophageal myotomy (POEM). Distensibility index (DI) (defined as the minimum cross-sectional area at the EGJ divided by pressure) was measured with FLIP after each operative step. During LHM and POEM… CONTINUE READING
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Distensibility of the esophagogastric junction assessed with the functional lumen imaging probe (FLIP) in achalasia patients

  • JE Pandolfino, A De Ruigh, F Nicodeme, Y Xiao, L Boris, PJ Kahrilas
  • Neurogastroenterol Motil 25(6):496–501
  • 2013
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