Abstract
Per-oral endoscopic myotomy (POEM) is an upcoming treatment modality for achalasia cardia. Results of POEM have been encouraging and are comparable to those after laparoscopic Heller's myotomy (LHM) or endoscopic balloon dilatation (EBD). The patients with severe cardio-respiratory diseases are relative contraindications for LHM or EBD. In this multi-center study, we analyzed safety and efficacy of POEM in sub-group of patients with severe co-morbid conditions.
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