Peroral endoscopic myotomy (POEM) is a revolutionary therapy for achalasia and related disorders. POEM utilizes almost the same myotomy procedure as the Heller myotomy; thus, it would be expected to have the same or greater duration of therapeutic effect. However, to date, there have been no reports to prove the basis for this procedure in achalasia. In this case, we were able to histologically...

arabic poets have used myth since long in their poems. but after literary resurrection and making connection with culture and literature of west, they have used myth as a new method for presenting their interest and a useful tool in the description.  christ, one of the god’s prophets that has sent to the people for guidance, in the arabic contemporary poem has a symbolic effect. this personalit...

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...

BACKGROUND/AIM Several uncontrolled studies comparing peroral endoscopic myotomy (POEM) and Heller myotomy have demonstrated equivalent short-term efficacy and safety. However, no data exists rergarding the cost of POEM and how it compares to that of robotic Heller myotomy (RHM). The primary aim of this study was to compare the inpatient charges incurred in patients who underwent POEM or RHM fo...

BACKGROUND AND STUDY AIMS With the success of peroral endoscopic myotomy (POEM) in treatment of achalasia, its successful application to other spastic esophageal motility disorders such as Jackhammer esophagus has been noted. The question of whether the lower esophageal sphincter (LES) should be included in the myotomy for Jackhammer esophagus is a topic of current debate. Here, we report our e...

Peroral endoscopic myotomy (POEM) has been established as an optional treatment for achalasia. POEM is an endoluminal procedure that involves dissection of esophageal muscle fibers followed by submucosal tunneling. Inoue first attempted to use POEM for the treatment of achalasia in humans. Expanded indications of POEM include classic indications such as type I, type II, type III achalasia, fail...

INTRODUCTION Data on anesthesia management and outcomes associated with peroral endoscopic myotomy (POEM) performed exclusively in the endoscopy unit are limited. In this prospective study, we evaluated the safety of anesthesia management, and the feasibility and efficacy of POEM performed exclusively in the endoscopy unit. METHODS A single-center prospective study of consecutive patients wit...

Background and study aims Per-oral endoscopic myotomy (POEM) has emerged as an efficacious treatment modality for the management of achalasia cardia (AC) and non-achalasia spastic esophageal motility disorders. Initial results are encouraging. We analyzed the safety and efficacy of POEM in a large cohort of patients with AC. Patients and methods The data from patients who underwent POEM (from J...

some arab critics and historians believe that if we cast a look at complete poetical work of mahmoud sami al-baroudi, we will realize that he has not brought anything new into poetical affairs and technical form of poem. and also he has not stepped out of the current issues of his own age. al-baroudi’s poetry has been divided into panegyric, lampoon, glory, and rhyming and his sensational prosp...

â â  this article deals with the systematic significance of ney (the flute) , which is rooted in persian literary heritage and was manifested in the work of jaläl-ad-dä«n-e rå«mä«, also known as mowlavi. it then elaborates on its influence on modern arab poetry. to achieve this, the article first takes a glimpse at the famous poem by mowlavi, known as “ the flute” and outlines its symbolic...