POEM for Achalasia This 55 year old had significant trouble swallowing and chest pains due to achalasia. A complete clinical evaluation including Oeosophageal manometry confirmed the diagnosis. Findings on a contrast oesophageal suggestive exam suggestive of achalasia include a narrowed oesophago-gastric junction with a “bird-beak” appearance and oesophageal decreased motility (aperistalsis) or even oesophageal dilation. … Continue reading POEM for Achalasia