Challenges of peroral endoscopic myotomy in the treatment of distal esophageal spasm.

Fraukje Anna-Marie PondsAndré J P M SmoutPaul FockensAlbert J Bredenoord

Published in: Scandinavian journal of gastroenterology (2018)

Performing POEM for DES is challenging due to reactive hyperactive spastic contractions during the procedure causing technical difficulties and an extended procedure. A long myotomy, several centimeters above the proximal border of the spastic region, is essential to prevent remnants of spasticity.

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