abstract: both estrangement and alienation press in certain mental and physical complications in man’s life and force him to experience mental deficiency, and feel a lack of positive communal or individual sense of belonging. however, the jahili sense of these terms is quite different from their modern application. in the jahili period, old age and senility are the main reasons for such inconve...

Background/Aims Achalasia cardia (AC) is a motility disorder, characterized by impaired lower esophageal sphincter relaxation and absence of esophageal peristalsis. AC is rare in children with unclear optimum management strategies. Per oral endoscopic myotomy (POEM) is a novel technique for management of achalasia with encouraging results in adult patients. The efficacy and safety of POEM is no...

The author presents a close reading of a Frost poem and a detailed discussion of an analytic session. Using specific examples from the poem and from the analytic session, he then offers some thoughts concerning the relationship between the way he listens to the language of the poem and the way he and his patient speak with and listen to one another. The author illustrates in this reading of the...

BACKGROUND Peroral endoscopic myotomy (POEM) is a novel endoscopic technique for the treatment of achalasia. However, there are POEM-associated complications, the most common of which being gas-related. The aim of the current study was to determine the occurrence of and risk factors for gas-related complications of POEM in patients with achalasia. METHODS Retrospective analyses were performed...

INTRODUCTION Peroral endoscopic myotomy (POEM) has been considered as a minimal-invasive, innovative technique for long-term treatment of all types of esophageal achalasia and other esophageal motility disorders. PATIENTS AND METHODS We report on 20 consecutive Greek patients with manometrically proved esophageal achalasia (14 patients with type I, 4 with type II, 2 with type III, and 4 with ...

Background/Aims We evaluated whether manometric subtype is associated with treatment outcome in patients with achalasia treated by peroral endoscopic myotomy (POEM). Methods High-resolution manometry data and Eckardt scores were collected from 83 cases at two tertiary referral centers where POEM is performed. Manometric tracings were classified according to the three Chicago subtypes. Resul...

PURPOSE To assess the short-term efficacy and quality of life (QOL) of patients with achalasia after peroral endoscopic myotomy (POEM). METHODS Thirty-five achalasia patients underwent POEM from May 2013 to December 2013. The data on clinical evaluation and QOL before therapy, at 1 month and 6 months postoperation were collected and analyzed. RESULTS All the thirty-five patients underwent P...

Background and Aim Peroral endoscopic myotomy (POEM) is a technically demanding procedure. Recently, a new triangular knife with integrated water jet function (TTJ) has been introduced. The present study was aimed to analyze and compare the operating time, efficacy, and adverse events (AEs) between the conventional (TT knife) and new knife (TTJ). Patients and Methods All patients with achalas...

Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter (LES) and aperistalsis of the esophageal body. Treatment of achalasia is aimed at decreasing the resting pressure in the LES. Peroral endoscopic myotomy (POEM), derived from natural orifice transluminal endoscopic surgery (NOTES) and advances in endoscopic submucosal dissection ...

This paper addresses the question of computationally inexpensive yet discriminative and robust feature sets for real-world face recognition. The proposed descriptor named Patterns of Oriented Edge Magnitudes (POEM) has desirable properties: POEM (1) is an oriented, spatial multi-resolution descriptor capturing rich information about the original image; (2) is a multi-scale self-similarity based...