CT chest shows a markedly dilated, fluid-filled oesophagus with smooth distal tapering and no obstructing mass—imaging features suggestive of achalasia.

Diagnosis confirmed on high-resolution manometry (Type II).

Patient underwent POEM, with dysphagia score improving
from 3 → 1.

📌 A nice example of radiology–manometry–endoscopy concordance and clinical response.

#Achalasia #POEM #Gastroenterology #Manometry #GastroAGI

🦠 Blown-Out Myotomy (BOM) in Achalasia

BOM occurs when a prior myotomy fails, causing recurrent dysphagia, chest pain, and poor esophageal emptying.

A new study shows POEM is a safe, effective salvage option with 85.7% success at 2 yrs, even in altered anatomy—restoring swallowing and quality of life.
#GastroAGI #Achalasia #POEM

#Achalasia of the esophagus is "What is on your mind?" at the moment.

Was real hungry on the way home from the store, so gobbled a little bit from a baguette. Guess I forgot to chew it well enough, so now I wait and wait for it to go down.

It will go down eventually, but it hurts until my body decides to relax enough to let it drop.

Relax, relax, RELAX!!