An E -POEM secondary to achalasia

Performed with Speedboat UltraSlim by Dr Ben Tharian at Bayfront Health - St. Petersburg, Florida

The esophago-gastric junction before myotomy

Tunnelling

Inner muscle layer

Frequent manual lifting was achieved with Speedboat UltraSlim's integrated injection delivery

Myotomy

The full thickness myotomy exposed the mediastinum

Open EGJ s/p POEM

The oesphago-gastric junction has been successfully opened

Endoscopic full thickness suturing

Finally, the entry point was sutured to complete the case

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