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PerOral Endoscopic Myotomy (POEM) Feasible As Reoperation Following Heller Myotomy
Amy K. Yetasook*1, Jin-Cheng Zhao1,2, Woody Denham1,2, John G. Linn1, Michael B. Ujiki1,2
1Minimally Invasive Surgery, NorthShore University HealthSystem, Evanston, IL; 2Department of Surgery, University of Chicago, Chicago, IL

Peroral Endoscopic Myotomy (POEM) is a promising new treatment for achalasia. We present three cases of recurrent achalasia after failed therapy with reoperation by POEM. Additionally, we also demonstrate our technique with a patient who underwent POEM after failed endoscopic intervention and laparoscopic Heller myotomy (LHM) with reoperation by POEM. This case series illustrates feasbility of completing a peroral minimally invasive approach in the management of recurrent achalasia.


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