Achalasia on Endoscopy 53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then take down of wrap & transabdo extension of myotomy & Nissen (90’s), ~15 dilations (80’s-2000’s), pneumatic dilation (2013), botox x 3 (2014-6). What would you do next? - Dr. Robert Bechara @RobertBechara #Achalasia #Endoscopy #EGD #clinical