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1 ter thoracoscopic and 93% after laparoscopic myotomy).
2 al hernia repair, fundoplication, and Heller myotomy).
3 opic procedures are attributed to incomplete myotomy.
4 y morbidity has been the major limitation of myotomy.
5 ained time are pneumatic dilation and Heller myotomy.
6  72% (26%) effective vs 84% (20%) for Heller myotomy.
7 red to tailor or confirm the adequacy of the myotomy.
8 with an incisionless, endoscopic approach to myotomy.
9 studies of both POEM and laparoscopic Heller myotomy.
10 rgical procedure developed to mimic surgical myotomy.
11 trajectory determined the geometry of SESAME myotomy.
12 ng specifically on Zenker peroral endoscopic myotomy.
13  option with pneumatic dilatation and Heller myotomy.
14  before and after laparoscopic or endoscopic myotomy.
15 7%), and 4 with type 3 (80%) achalasia after myotomy.
16 e pneumatic dilation and laparoscopic Heller myotomy.
17 opic therapies before recommending operative myotomy.
18 operative factors associated with successful myotomy.
19 e gastroesophageal reflux (GER) after Heller myotomy.
20 flux procedure should be added to the Heller myotomy.
21 es for continued symptoms of dysphagia after myotomy.
22 num toxin (Botox), and 4 had undergone prior myotomy.
23 x [71%], pneumatic dilation [91%], or Heller myotomy [100%]) than type I (56% overall) or type III (2
24       Thirty-one of 107 patients underwent a myotomy (29%).
25 a fundoplication was added to a laparoscopic myotomy (31.5% without a fundoplication vs. 8.8% with; O
26                                       Before myotomy, 79% received Botox or bag dilation: 52% had Bot
27 dilation (70%-90% effective) or laparoscopic myotomy (88%-95% effective).
28 Ninety-three percent felt they would undergo myotomy again, if necessary.
29 us Dor Fundoplication was superior to Heller myotomy alone in regard to the incidence of postoperativ
30                                       SESAME myotomy along the intended trajectory was achieved in al
31 emale rabbits were subjected to surgical EAS myotomy and administered local injections of either a Wn
32 culectomy or diverticulopexy with esophageal myotomy and an antireflux procedure.
33  patients have undergone laparoscopic Heller myotomy and been prospectively followed.
34                Studies suggest that surgical myotomy and botulinum toxin injection may provide benefi
35                          Laparoscopic Heller myotomy and fundoplication was performed through five up
36 rapies, including gastric peroral endoscopic myotomy and ghrelin agonists, show promise in improving
37 n 60% of tested patients after thoracoscopic myotomy and in 17% after laparoscopic myotomy plus fundo
38      Pneumatic dilation, per-oral endoscopic myotomy and laparoscopic Heller myotomy can provide dura
39                          Laparoscopic Heller myotomy and partial fundoplication should be considered
40 reflux disease (GERD) or completing Heller's myotomy and subject today to intense discussions.
41 o assess the long-term outcome of esophageal myotomy and to identify preoperative factors influencing
42 history, including prior laparoscopic Heller myotomy and/or POEM, should be considered when determini
43 hirty-five patients had a left thoracoscopic myotomy, and 133 patients had a laparoscopic myotomy plu
44 its efficacy compared to pneumatic dilation, myotomy, and combination therapy.
45 PRACTICE ADVICE 2: POEM, laparoscopic Heller myotomy, and pneumatic dilation are effective therapies
46 September 2011 using the keywords achalasia, myotomy, antireflux surgery, and fundoplication.
47         Both pneumatic dilation and surgical myotomy are effective therapies for achalasia; laparosco
48              Pneumatic dilation and surgical myotomy are the most effective therapeutic options for a
49                                   Failure of myotomy as defined by persistent or recurrent severe sym
50 r myotomy with the majority (74%) undergoing myotomy as secondary treatment of achalasia.
51 iable prognosis after endoscopic or surgical myotomy based on subtypes, with type II (absent peristal
52  transcatheter procedure, mimicking surgical myotomy, called Septal Scoring Along the Midline Endocar
53                                 Laparoscopic myotomy can durably relieve symptoms of dysphagia.
54 l endoscopic myotomy and laparoscopic Heller myotomy can provide durable symptom benefit.
55                          Laparoscopic Heller myotomy can safely and durably relieve symptoms of dysph
56  At present, pneumatic dilatation and Heller myotomy combined with an anti-reflux procedure are the t
57  to achieve excellent dysphagia relief after myotomy compared with those with LES pressure < or =35 m
58 res either for submucosal tunnel creation or myotomy confirmation, with excellent safety and efficacy
59      LP was successfully placed and adequate myotomy confirmed including 14.2 and 17.8% of POEM and G
60            Since then, esophageal endoscopic myotomy (E-POEM), has been performed in more than 10,000
61                                       A 7-cm myotomy extended 6 cm above the GE junction and 1 cm bel
62 lected from patients undergoing laparoscopic myotomy for achalasia at our institution.
63     Among the 209 patients undergoing Heller myotomy for achalasia, 154 received endoscopic therapy b
64 d (1994-2003), 209 patients underwent Heller myotomy for achalasia.
65 t option comparable with laparoscopic Heller myotomy for any of the achalasia syndromes; and 5) post-
66                   Gastric peroral endoscopic myotomy (G-POEM) may be considered nowadays an effective
67 yotomy (POEM) and gastric peroral endoscopic myotomy(G-POEM) procedures.
68                                       Heller myotomy had no effect in these patients, but sildenafil
69 ven its low rates of complications, surgical myotomy has become the preferred primary treatment, part
70                                       Heller myotomy has been shown to be an effective primary treatm
71                          Laparoscopic Heller myotomy has been undertaken for over a decade, but most
72                          Per-oral endoscopic myotomy has recently been introduced as a new minimally
73 ic myotomy (POEM), an incisionless selective myotomy, has been described as a less invasive surgical
74 tandard for achalasia is laparoscopic Heller myotomy (HM) and partial fundoplication.
75  review of comparative data vis a vis Heller myotomy (HM) and pneumatic dilation (PD) and we will del
76 h failed initial POEM or laparoscopic Heller myotomy; however, the decision among treatment modalitie
77 d 95 laparoscopic and 5 thoracoscopic Heller myotomies in 100 patients (age 49.5 +/- 1.5 years) with
78 nesophageal pressurization disappeared after myotomy in 16 of 19 patients.
79 ric junction relaxation pressure achieved by myotomy in achalasia is associated with partial recovery
80 PRACTICE ADVICE 6: The optimal length of the myotomy in the esophagus and cardia, as it pertains to t
81                                              Myotomy is beneficial in patients with pharyngeal swallo
82                The selection of patients for myotomy is difficult and of major importance to the qual
83 therapies for achalasia; laparoscopic Heller myotomy is emerging as the optimal surgical therapy.
84 on the management of achalsia using a Heller myotomy is limited in Africa.
85                          Laparoscopic Heller myotomy is strongly encouraged for patients with symptom
86                                 Laparoscopic myotomy is the preferred treatment of achalasia.
87                                              Myotomy length was 9 cm (7-12 cm), and the median operat
88  long-term effects after laparoscopic Heller myotomy (LHM) and endoscopic balloon dilation (EBD) cons
89 Pneumatic dilation and laparoscopic Heller's myotomy (LHM) are established treatments for idiopathic
90 umatic dilation (PD) and laparoscopic Heller myotomy (LHM), including not only clinical aspects but a
91 eumatic dilation (PD) or laparoscopic Heller myotomy (LHM), which have comparable rates of success.
92 ers, verapamil, disopyramide) and the septal myotomy-myectomy operation, which is the standard of car
93                           Ventricular septal myotomy/myectomy (Morrow procedure) is the standard surg
94 ology was judged unsuitable for conventional myotomy/myectomy, a novel surgical strategy was designed
95  alternative surgical strategies to standard myotomy/myectomy, similar to those described here.
96 ient to control these symptoms, and surgical myotomy-myomectomy is required.
97 nd nonsurgical septal reduction therapy with myotomy-myomectomy, which is considered to be the standa
98 llent relief of dysphagia after laparoscopic myotomy; none required an esophagectomy.
99                                     Surgical myotomy of the EAS resulted in significant impairment in
100  Resection of the diverticula and a surgical myotomy of the manometrically defined abnormal segment r
101 ition of infants, is treated by longitudinal myotomy of the pylorus.
102  dysphagia were 0.06 (95% CI, 0.03-0.12) for myotomy only, 0.11 (95% CI, 0.09-0.14) for myotomy with
103 est result were 0.37 (95% CI, 0.12-1.08) for myotomy only, 0.16 (95% CI, 0.11-0.24) for myotomy with
104 es were divided into the following 3 groups: myotomy only, myotomy with anterior fundoplication, and
105  be referred to surgeons for cricopharyngeal myotomy or corrective surgery of extraocular muscles to
106 a is most commonly treated with laparoscopic myotomy or endoscopic dilation.
107 need for additionally therapy including redo myotomy or esophagectomy was higher in the endoscopicall
108 th achalasia were assigned to undergo Heller myotomy or Heller myotomy plus Dor fundoplication.
109 edurally during myotomy (per-oral endoscopic myotomy or laparoscopic Heller myotomy) to guide adequac
110                                        After myotomy, patients rarely have abnormal esophageal acid e
111 der performing FLIP intraprocedurally during myotomy (per-oral endoscopic myotomy or laparoscopic Hel
112 myotomy, and 133 patients had a laparoscopic myotomy plus a partial fundoplication.
113                                       Heller Myotomy plus Dor Fundoplication was superior to Heller m
114 assigned to undergo Heller myotomy or Heller myotomy plus Dor fundoplication.
115                                 Laparoscopic myotomy plus fundoplication corrected reflux present bef
116 scopic myotomy and in 17% after laparoscopic myotomy plus fundoplication.
117  for patients undergoing per-oral endoscopic myotomy (POEM) after our initial 15-case learning curve.
118  to describe a place for per-oral endoscopic myotomy (POEM) among the currently available robust trea
119               We included peroral endoscopic myotomy (POEM) and gastric peroral endoscopic myotomy(G-
120                           Peroral endoscopic myotomy (POEM) and submucosal tunneling and endoscopic r
121 ice guidelines recommend per-oral endoscopic myotomy (POEM) as a potential first-line therapy for the
122                           Peroral endoscopic myotomy (POEM) for achalasia (sometimes also referred as
123 ucosal space creation and peroral endoscopic myotomy (POEM) has been used to treat a host of esophage
124  of patients treated with peroral endoscopic myotomy (POEM) in a single European center.
125                          Per-oral endoscopic myotomy (POEM) is a less invasive flexible endoscopic al
126                           Peroral endoscopic myotomy (POEM) is a less invasive therapy with promising
127                           Peroral endoscopic myotomy (POEM) is an increasingly utilized endoscopic th
128 udies have indicated that peroral endoscopic myotomy (POEM) might be a safe and effective treatment f
129                          Per-oral endoscopic myotomy (POEM), an incisionless selective myotomy, has b
130 ce regarding advances in per-oral endoscopic myotomy (POEM).
131                        Per-rectal endoscopic myotomy (PREM) is a recently described novel minimally i
132 or full eye closure after OO paralysis or RB myotomy, respectively.
133 ntails division of the septum and esophageal myotomy, S-POEM requires only esophageal myotomy without
134                                    Following myotomy, the EAS muscle was replaced with fibrous tissue
135                                        After myotomy, the frequency and severity of symptoms of achal
136 c aganglionic bowel segments by performing a myotomy through a submucosal tunnel.
137 feasibility of SESAME, a novel transcatheter myotomy to relieve left ventricular outflow tract obstru
138 al endoscopic myotomy or laparoscopic Heller myotomy) to guide adequacy of LES disruption.
139                           Despite history of myotomy, treated achalasia patients frequently receive E
140 ns reviewed included EBTI, EBD, and surgical myotomy using open and minimally invasive techniques.
141                 Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and tr
142 phagia score was 7.1 +/- 2.6; therefore, the myotomy was considered successful when the delta score w
143                            The length of the myotomy was determined by the extent of the motility abn
144                                 Laparoscopic myotomy was performed by incising the distal 4 to 6 cm o
145                                 Laparoscopic myotomy, when combined with an antireflux procedure, pro
146 toperative dysphagia in the group undergoing myotomy with anterior fundoplication compared with the g
147 r myotomy only, 0.11 (95% CI, 0.09-0.14) for myotomy with anterior fundoplication, and 0.06 (95% CI,
148 r myotomy only, 0.16 (95% CI, 0.11-0.24) for myotomy with anterior fundoplication, and 0.18 (95% CI,
149 d into the following 3 groups: myotomy only, myotomy with anterior fundoplication, and myotomy with p
150                                 Laparoscopic myotomy with fundoplication was the most effective surgi
151 oscopic balloon dilation (EBD), and surgical myotomy with or without a fundoplication; however, repor
152 plication compared with the group undergoing myotomy with posterior fundoplication were statistically
153 oplication, and 0.18 (95% CI, 0.13-0.25) for myotomy with posterior fundoplication.
154 oplication, and 0.06 (95% CI, 0.04-0.08) for myotomy with posterior fundoplication.
155 y, myotomy with anterior fundoplication, and myotomy with posterior fundoplication.
156 t outcomes in 209 patients undergoing Heller myotomy with the majority (74%) undergoing myotomy as se
157 urgical counterpart, the laparoscopic Heller myotomy, with superiority for type III (spastic) achalas
158 sia, which combines the efficacy of surgical myotomy, with the benefits of an endoscopic procedure.
159 eal myotomy, S-POEM requires only esophageal myotomy without septum division.

 
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