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Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia.
P J Pasricha
1 ,
R Hawari ,
I Ahmed ,
J Chen ,
P B Cotton ,
R H Hawes ,
A N Kalloo ,
S V Kantsevoy ,
C J Gostout
Sep 2007
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Abstract
The most permanent method of treating achalasia is a surgical myotomy. Because of the requirement for a mucosal incision and the risk of perforation, this procedure has not generally been approached endoscopically. We hypothesized that we could perform a safe and robust myotomy by working in the submucosal space, accessed from the esophageal lumen.