Surgical Myotomy for Type II Achalasia: Challenges and Techniques
Full procedure description including preparation, full technique description, and post-procedure care. Case highlights first full POEM by trainee, difficult dissection across GOJ due to previous treatment, difficult tunnel entry.
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Chapters (13)
0:00Introduction
4:38Injection
11:52Extension of Incision
13:21Tunnel Entry
18:49Dissection
38:40Difficult Tunneling - Below the Muscle
47:13Confirming the Position of the GOJ
63:34Myotomy assessment and Hemostasis
70:39Closure
78:23Feedback
5:42Incision
51:52Myotomy
57:33Myotomy _ Thick Muscle