Volume 3, Issue 1, Pages (January 2018)

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Volume 3, Issue 1, Pages 17-19 (January 2018) Endoscopic pyloroplasty for adult hypertrophic pyloric stenosis associated with esophageal achalasia Shingo Ono, MD, Fumiaki Yano, MD, PhD, Masato Hoshino, MD, PhD, Norio Mitsumori, MD, PhD, Kazuki Sumiyama, MD, PhD VideoGIE Volume 3, Issue 1, Pages 17-19 (January 2018) DOI: 10.1016/j.vgie.2017.09.005 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Pyloric stenosis, “cervix sign.” VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Incision of the lesser curvature of the stenotic site. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Exposed abnormally thickened inner muscularis. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Incision of the hypertrophic inner muscularis parallel to the axis of the stomach. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Dilation of the incised pyloric ring with an 18-mm balloon. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Full opening of the pyloric stenosis after incision and balloon dilation. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Transverse closure of the longitudinal incision with hemoclips. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 8 Follow-up endoscopic view at 1 month showing that the pylorus remained loosened, with a minor mucosal deformity. VideoGIE 2018 3, 17-19DOI: (10.1016/j.vgie.2017.09.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions