The treatment of patients with achalasia is complex due to a considerably high recurrence rate and risk of treatment-related complications. The per-oral endoscopic myotomy (POEM) is a new endoscopic technique that combines the benefits of a minimally invasive endoscopic procedure with the efficacy of a surgical myotomy. Implementation of the POEM technique may lead to fewer complications, a low...

Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of being incisionless, preserving the outer longitudinal esophageal mus...

She Walks in Beauty: Introduction 1. She Walks in Beauty: Text of the Poem 2. She Walks in Beauty: Lord George Gordon Byron Biography 3. She Walks in Beauty: Summary 4. She Walks in Beauty: Themes 5. She Walks in Beauty: Style 6. She Walks in Beauty: Historical Context 7. She Walks in Beauty: Critical Overview 8. She Walks in Beauty: Essays and Criticism The Byronic Hero ♦ Aesthetically Perfect...

Download Editor’s Note: The author writes: “This poem relates a true situation regarding my neighbor and good friend. I changed his name in the poem, but everything else is true.” Dennis Trujillo was born and raised in Pueblo, Colorado. He is a former soldier and middle/high school math teacher who happens to love poetry. He now resides in Korea and is employed at Shinhan University. He runs an...

Advanced Optoelectronics for Energy and Environment (AOEE) is part of International Photonics and OptoElectronics Meetings (POEM), launched by Wuhan National Laboratory for Optoelectronics (WNLO). POEM is a large-scale multi-disciplinary international conference in the field of photonics and optoelectronics. It aims to focus on the key techniques of scientific frontier and industry in the field...

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...

In spring 1590, book-buyers in London were confronted with a long narrative poem, ‘Disposed into twelue books, Fashioning XII. Morall vertues’, published by William Ponsonby. If they bought the poem, or leafed through it on the stationer’s stall, they encountered first a dedication ‘TO THE MOST MIGHTIE AND MAGNIFICENT EMPRESSE ELIZABETH’, then, on the following pages, the title and subtitle of ...

Background and aims: After Peroral Endoscopic Myotomy (POEM), the mucosal incision is closed with endoscopically applied clips. After each clip placement, a subsequent clipping device has to be introduced through the working channel. With the Clipmaster3, three consecutive clips can be placed without reloading which could reduce closure time. We performed a prospective study evaluating efficacy...

AIM To assess the efficacy and safety of fibrin sealant for closure of mucosal penetration at the cardia during peroral endoscopic myotomy (POEM). METHODS Twenty-four patients who underwent POEM and experienced mucosal injury of the cardia during the procedure were retrospectively identified. Of the 24 patients, 21 had mucosal penetration and 3 had only slight mucosal damage without penetrati...