Challenges of peroral endoscopic myotomy in the treatment of distal esophageal spasm.

CONCLUSION: Performing POEM for DES is challenging due to reactive hyperactive spastic contractions during the procedure causing technical difficulties and an extended procedure. A long myotomy, several centimeters above the proximal border of the spastic region, is essential to prevent remnants of spasticity. PMID: 29338493 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/29338493?dopt=Abstract

Source: Scandinavian Journal of Gastroenterology - January 19, 2018 Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research