Gastroparesis (GP) is a syndrome characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach or proximal small bowel. Currently available dietary and medical therapies are limited and have suboptimal efficacy. Pylorus-directed therapies have showed promising results. Gastric peroral endoscopic myotomy (G-POEM) has been reported for the treatment of GP refra...

Abstract Background Achalasia is a rare condition affecting less than 1:100,000 patients. Treatment for this include balloon dilation, botox injection, endoscopic myotomy (POEMS) or surgical myotomy. Laparoscopic the “go to” approach most surgeons; it tried and tested, can be performed safely quickly with low complication rate, minimal pain short length of stay. Methods This video presents tech...

The aim of this study was to verify if hyoid myotomy without hyoid suspension is effective in surgical treatment of obstructive sleep apnoea syndrome (OSAS). We recruited six patients with OSAS, aged between 34 to 60 years, with retropalatal and retrolingual upper airway obstruction, non-obese (BMI < 27) and non-compliant to continuous positive airway pressure therapy. Pre-surgical clinical and...

BACKGROUND Total intestinal aganglionosis is characterized by the absence of intramural ganglion cells, in which the disease's involvement extends from the stomach to the anorectum. This disease was suggested previously to be incompatible with life, but recently an extended small bowel myectomy-myotomy has achieved some prolonged survivors. METHODS Five patients with total intestinal aganglio...

Zenker's diverticulum is an acquired sac-like outpouching of the mucosa and submucosa layers located dorsally at the pharyngoesophageal junction through Killian's dehiscence. It is the most common type of oesophageal diverticula with a reported prevalence ranging between 0.01 to 0.11% and typically occurs in middle-aged and elderly patients. Predominant symptoms are dysphagia and regurgitation....

Objective. The aim of this study was to evaluate the results of open surgical techniques in the treatment of Zenker diverticulum. Study Design. Case series with chart review. Setting. Academic tertiary referral center. Subjects and Methods. Fifty-four patients with Zenker diverticulum were treated using a transcervical approach. Three with a Brombart I diverticulum underwent a simple myotomy of...

Abstract Heller myotomy with fundoplication (HF) is one of the established treatments for esophageal achalasia. However, less invasive Peroral endoscopic (POEM) rapidly spreading. Several papers report short-term efficacy and safety POEM as well HF, but GERD more frequent after POEM. Moreover, long-term outcome still unknown. This a single center retrospective study. In our center, HF was carri...

BACKGROUND Different surgical techniques have been indicated for the management of Zenker's diverticulum (ZD), including diverticulectomy, diverticulopexy, and diverticular inversion, with or without myotomy, and myotomy alone. More recently, minimally invasive techniques (such as the transoral endoscopic approach) have become increasingly reliable for this disorder. We therefore conducted this...

Purpose: Clinical presentation and surgical results of the esophageal diverticula were analyzed. Methods: Ten patients who underwent esophageal diverticulectomy with myotomy from May 1999 to May 2008 were reviewed retrospectively. Results: Three pharyngoesophageal, one midesophageal and six epiphrenic diverticula were observed and transcervical, right transthoracic and left transthoracic surgic...