Redo per-oral endoscopic myotomy: direct septotomy and cardiomyotomy with mucosal closure via endoscopic hand suturing

Redo per-oral endoscopic myotomy: direct septotomy and cardiomyotomy with mucosal closure via endoscopic hand suturing Fig. 3 Selective myotomy was per- formed on the residual muscular septum, extending into the gastric cardia. Fig. 4 Closure of the mucosal entry using absorbable barbed sutures with an endoscopic needle holder. Fig. 5 Complete mucosal closure achieved with six stitches.