Per Oral Endoscopic Myotomy or POEM is an innovative new therapy for achalasia which allows accurate surgical division of the lower oesophageal sphincter without external incisions.
The prevalence of gastro-oesophageal reflux symptoms (GORS) is on the rise. Ness-Jensen et al (2011) showed an increase in the prevalence of GORS measured over a decade. Any GORD symptoms increased by 30%, severe GORD symptoms increased by 24% and weekly GORD symptoms increased by 47%.
The definition of AM is characterised by the presence of heterotopic endometrial glands and stroma within the myometrium, >2.5mm in depth in the myometrium or more than one microscopic field at 10 times magnification from the endometrium–myometrium junction and a variable degree of adjacent myometrial hyperplasia.
Irritable bowel syndrome (IBS) is a common functional bowel problem that mostly affects younger individuals, mostly women (a 2:1 female predominance in the western world) and patients with other functional gastrointestinal problems.