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0001, and median ± SD) with 100% symptomatic relief at one year. To achieve this, 13 patients required further dilation(s), one required laparoscopic Heller myotomy, and two required repeat POEM. CONCLUSIONS POEM is a viable and safe treatment for pediatric patients with achalasia. We demonstrate improvement in symptoms and procedure proficiency with minimal intra- and postoperative complications. TYPE OF STUDY Prospective cohort study. LEVEL OF EVIDENCE Level II. Virtual surgical planning (VSP) promises higher accuracy, efficiency, and
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