Figure 5 High-resolution manometry studies performed

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Presentation transcript:

Figure 5 High-resolution manometry studies performed before and after a POEM procedure in a patient with type II achalasia Figure 5 | High-resolution manometry studies performed before and after a POEM procedure in a patient with type II achalasia. Note the fragment of peristalsis proximal to the myotomy (double-headed arrow, extends 5 cm proximal to the EGJ) after per-oral endoscopic myotomy (POEM) that was not evident before myotomy. DCI, distal contractile integral; EGJ, oesophagogastric junction; IRP, integrated relaxation pressure. Kahrilas, P. J. et al. (2017) Advances in the management of oesophageal motility disorders in the era of high-resolution manometry: a focus on achalasia syndromes Nat. Rev. Gastroenterol. Hepatol. doi:10.1038/nrgastro.2017.132