LAUSR

Figure 1 Realisation of a Per Oral Endoscopic Myotomy with partial valve cutting for dysphagia after fundoplication. (A) Antireflux wrap in retroflexion; (B) submucosal tunnel during dissection; (C) submucosal narrowing at the esogastric junction; (D) visualisation of the antireflux wrap after full thickness myotomy; (E) partial wrap incision; (F) retroflex at the end of the procedure with submucosal injection at the wrap site. Ana Garcia Garcia de Paredes , Rondell P Graham, Michael J Levy, Robert R McWilliams, Elizabeth Rajan, Lizhi Zhang, Ferga C Gleeson 1 Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA Gastroenterology and Hepatology Department, Hospital Universitario Ramon y Cajal, Universidad de Alcala. IRYCIS, Madrid, Spain Division of Anatomic Pathology, Mayo Clinic, Rochester, Minnesota, USA Division of Medical Oncology, Mayo Clinic, Rochester, Minnesota, USA