We aimed to assess the short-term outcomes of per-oral endoscopic myotomy (POEM) compared with laparoscopic Heller myotomy (LHM) for achalasia through a meta-analysis of nonrandomized comparative studies.We searched PubMed, Embase, Medline, Cochrane Library, and Google Scholar for studies that compared POEM and LHM for achalasia and were published between January 1, 2008 and December 31, 2014. ...

BACKGROUND Ventricular septal myotomy/myectomy (Morrow procedure) is the standard surgical option for severely symptomatic patients with hypertrophic cardiomyopathy (HCM) and marked basal obstruction to left ventricular outflow due to mitral valve systolic anterior motion. In some patients, however, congenital malformations of the mitral apparatus may be responsible for outflow obstruction; the...

The esophageal motility disorder termed achalasia has been known for many decades and treatment approaches extend at least back to 1674 when Willis reported dilation of the cardiac sphincter with a whale bone (1). The combination of a poorly relaxing lower esophageal sphincter (producing an obstructive component) plus the absence of peristalsis in the smooth muscle portion of the esophagus (pro...

is an idiopathic motility disorder that results from degeneration of the myenteric plexus in the wall of the esophagus and the lower esophageal sphincter (LES). 1 In esopha-geal manometry, achalasia is characterized by impaired relaxation of LES and loss of peristalsis in the body of the esophagus. Achalasia results in severe dysphagia for solids and liquids. Additional symptoms can also develo...

AIM This study evaluates the effects of three surgical procedures in the treatment of pronation deformities of the forearm in cerebral palsy patients; namely the transposition of pronator teres to extensor carpi radialis brevis muscle; and rerouting of the pronator teres muscle with or without pronator quadratus muscle myotomy. METHODS Sixty-one patients, 48 male/13 female, with a mean age of...

Achalasia cardia (AC) is a neurodegenerative disease which leads to loss of inhibitory myenteric neurons. This implies that, with the currently available treatment options, we offer palliation but not cure to these patients. Pneumatic balloon dilatation (PBD) has been the only time‐tested endoscopic modality for the management of AC until recently. However, the requirement of repeated dilatatio...