Navigated retrograde endoscopic myotomy (REM) for the treatment of therapy ‐resistant achalasia

ConclusionREM makes the proximal esophagus accessible for endoscopic myotomy. Potential indication for REM is motility disorders in the proximal esophagus and therapy failure after POEM. Esophageal motility disorders (EMD) involving the proximal esophagus are difficult to treat, because of inaccessibility for instrumentation Retrograde Endoscopic Myotomy (REM) was developed to treat EMD affecting the proximal esophagus and was performed with real‐time anatomical orientation based on prior computerized tomography and high‐resolution manometry REM was a safe and effective minimally invasive approach for myotomy of the proximal esophagus. The navigation system proved useful and could facilitate other complex endoscopic procedures
Source: Neurogastroenterology and Motility - Category: Gastroenterology Authors: Tags: ORIGINAL ARTICLE Source Type: research