What to do when Heller's myotomy fails? Pneumatic dilatation, laparoscopic remyotomy or peroral endoscopic myotomy: A systematic review.

Background: Surgical treatment of achalasia fails in 10%-20% of patients. The most frequent responsible cause is the performance of an incomplete myotomy at primary surgery. The treatment when the failure happens is not well defined.

[INTRAGASTRIC MIGRATION OF CLIPS. A NEW COMPLICATIONOF LAPAROSCOPIC VAGOTOMY].

Since 1989, when Kathdouda, M. D. and Mouiel, M.

[ENDOSCOPIC TREATMENT OF UPPER GASTROINTESTINAL BLEEDINGCAUSED BY PEPTIC ULCER].

Upper digestive bleeding (UDB) owing to peptic ulcer, 52 Forrest I and 116 Forrest II, was studied prospectively in 168 patients. Therapeutic endoscopy was performed to those patients at the Endoscopic Surgery Center of the "General Calixto Garcia" Hospital during a period of 13 months, beginning on December, 1995. Different hemostatic methods, chosen at random, were used for determining their efficacy in bleeding control and therefore, reducing lethality, mortality, hospitalization time and others.