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9
8
7
6
5
4
3
2
1
0

13.

14.

Preop

Immediate post op -
less than a month
POEM

Post op- greater
than 6 months

LHM

Figure 2. Eckardt scores for patients undergoing per-oral endoscopic myotomy
(POEM) and laparoscopic Heller myotomy (LHM) in preoperative, postoperative,
and long-term follow-up time periods.

In conclusion, POEM and LHM have been shown to be
acceptable procedures to treat achalasia. This small cohort shows
endpoints and outcomes consistent with larger published series.
We have appeared to overcome the learning curve based on
operative time and should expect outcomes to be consistent
with those of larger-volume centers with a longer experience.
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Laparoscopic Heller myotomy versus per-oral endoscopic myotomy for management of achalasia

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Table of Contents for the Digital Edition of Baylor University Medical Center Proceedings October 2017