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December 12, 2019

POEM: Peroral Endoscopic Myotomy

There has been much written about POEM over that last few years. 

When you search POEM on, an incredible 611 listings appear as of the writing of this post!

This paper, Endoscopic or Surgical Myotomy in Patients with Idiopathic...

May 24, 2016

The importance of vitamin D levels in autoimmune diseases

“vitamin D receptors are expressed in different tissues, such as brain, heart, skin, bowel, gonads, prostate, breasts, and immune cells, as well as bones, kidneys, and parathyroid glands.1”


“Current studies have...

January 24, 2016

Presentation, Diagnosis, and Management of Achalasia


Dr. Pandolfino, et. al have written a nice summary of Achalasia detailing diagnosis, treatment, and follow-up.


His comments about management of Achalasia are as follows:


"Patients who are deemed to be in otherwise go...

November 11, 2015

Histopathologic patterns among achalasia subtypes


Biopsies were taken from 46 myotomy patients: 20 type 1, 20 type 2, 3 type 3 and 3 EGJ obstruction.


The study suggests that Type 1 is a progression from type 2.


"On histopathology, complete ganglion cell loss occ...

October 24, 2015

Peroral endoscopic full-thickness myotomy for the treatment of sigmoid-type achalasia: outcomes with a minimum follow-up of 12 months

This study followed 23 sigmoid-type achalasia patients after POEM for 18 months.  The surgery took an average of 67.6 minutes.


I al...

October 21, 2015

You are gluten free (wheat), but are you oat free?


Do oats have gluten?


Is it important?


Key Points:

  1. There is no such thing as a “gluten free” oat.

  2. As many as 41% of processed packaged foods labeled gluten free contain enough gluten to cause damage (oats inclu...

October 9, 2015

Read here.


1. Decrease or eliminate your consumption of doughnuts, pizza, chips, and other highly processed foods


2. Decrease or eliminate your consumption of cereal grains, processed fatty meats, milk, added salt, refined sugar, and refined vegetable oils


3. Eat moder...

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December 12, 2019

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