%0 Case Reports
%T Peroral endoscopic myotomy assisted with an elastic ring for achalasia with obvious submucosal fibrosis: A case report.
%A Wang BH
%A Li RY
%J World J Clin Cases
%V 10
%N 33
%D Nov 2022 26
%M 36483833
%F 1.534
%R 10.12998/wjcc.v10.i33.12257
%X <B>BACKGROUND: </B>Peroral endoscopic myotomy (POEM) is an established treatment option for esophageal achalasia. However, technical challenges and failures exist. Submucosal fibrosis is a rare cause of aborted POEM procedures.<BR><B>METHODS: </B>We performed POEM with an elastic ring for achalasia with obvious submucosal fibrosis. The short-term outcome was excellent, surgery time was significantly shorter, and success rate was higher with POEM for achalasia with obvious submucosal fibrosis.<BR><B>CONCLUSIONS: </B>POEM performed with an elastic ring is a feasible and effective endoscopic treatment modality for achalasia with obvious submucosal fibrosis.