Worldwide, peroral endoscopic myotomy (POEM) has achieved remarkable initial outcomes in the treatment of achalasia. In China, POEM has developed very quickly since the first case was performed in our center in August 2010. With ex-perience, we have successfully performed POEM for special cases (such as pediatric patients, patients with sigmoid-type esophagus, and patients with recurrent sympto...

Abstract Background Endoluminal Vacuum Therapy (EVT) continues to gain momentum as a first line treatment for oesophageal perforations. Outside the emergency setting there is growing interest in using EVT prophylactically protect high-risk elective repairs. We present case which demonstrates benefit of prophylactic preventing extraluminal contamination, mediastinitis and sepsis following surger...

Abstract Aims Laparoscopic Heller’s myotomy (LHM) has been the surgical gold standard for treatment of oesophageal achalasia. Peroral endoscopic (POEM) proposed as an alternative technique. The aim this study was to assess safety and efficacy POEM achalasia in our unit. Methods We have operated on 202 patients since 2005: 107 had LHM, 86 POEM, 9 oesophagectomy. assessed clinical outcome compari...

aim : the purpose of this study was to determine the efficacy of heller myotomy for the treatment of achalasia in a referral center in tehran, and investigate the clinical characteristics, manometric results and treatment responses among three achalasia subtypes in iranian patients.   background : esophageal achalasia is an unusual swallowing disorder, characterized by high pressure in the lowe...

AIM To review the 8-year experience of the Department of Esophagogastric Surgery, First Surgical University Hospital in Belgrade in the surgical management of Zenker's diverticula (ZD). METHODS Between January 2000 and January 2009, 52 patients underwent surgical procedure for the treatment of ZD. Complete preoperative workup including the symptom evaluation and large variety of structural an...