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achalasia clinical gastroenterology management diagnosis egd endoscopy treatment a4c acg algorithm barium cardiology classification contrast decisionaid echocardiogram endocarditis ependymoma esophageal
Spinal Cord Midline Myelotomy to Resect an Ependymoma #SpinalCord #Myelotomy #Ependymoma #clinical #video #intraoperative #neurosurgery #resection
Spinal Cord Midline Myelotomy ... #SpinalCord #Myelotomy
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 Mitral Valve Endocarditis on POCUS Echocardiogram This patient underwent septal myectomy and MV replacement - Abhilash Koratala MD
underwent septal myectomy
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 Achalasia Management Algorithm - Botulinum Injection - Pharmacotherapy (CCB/nitrates) - Pneumatic Dilation - Peroral Endoscopic Myotomy
Peroral Endoscopic Myotomy ... Laparoscopic Heller's Myotomy
Achalasia Management Options - Decision Aid - Peroral endoscopic Myotomy (POEM) - Laparoscopic Heller myotomy (LHM) - Pneumatic Dilatation
Peroral endoscopic Myotomy ... Laparoscopic Heller myotomy
Achalasia on Endoscopy - Retroflexion View 53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then
transthoracic myotomy ... transabdo extension of myotomy
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 Achalasia on Endoscopy 53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then take down of
transthoracic myotomy ... transabdo extension of myotomy
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 Achalasia Classification Types - Barium Contrast Esophagram: 1) Spindle type (classic) 2) Flask type 3) Sigmoid type Response to
achalasia and myotomy
Achalasia Summary Epidemiology: 10 cases per 100,000 individuals Defined by inadequate relaxation of the LES and aperistalsis Primary or
Laparoscopic myotomy ... laparoscopic Heller myotomy ... peroral endoscopic myotomy
Diagnosis and Management of Achalasia - ACG Guidelines Who to suspect? • Patients presenting with progressive dysphagia
Laparoscopic Heller Myotomy
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