Using either posterior or anterior myotomy during peroral endoscopic myotomy can provide clinical success in the treatment of achalasia, according to study results.
Mouen A. Khashab , MD, from the division of gastroenterology and hepatology at Johns Hopkins Medical Institutions, and colleagues wrote that while finding the optimal clinical approach to peroral endoscopic myotomy (POEM) is crucial, data comparing these techniques are limited.
“Theoretically, the anterior approach could be associated with decreased risk of reflux as it preserves the oblique muscle fibers of the lower

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