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Articles Published Processes
8/21/2026 3:32:18 AM | Browse: 3 | Download: 0
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Received |
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2026-01-14 00:34 |
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Peer-Review Started |
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2026-01-14 00:35 |
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First Decision by Editorial Office Director |
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2026-02-14 07:48 |
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Return for Revision |
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2026-02-14 07:48 |
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Revised |
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2026-02-16 11:48 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-03-10 02:43 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-03-10 09:00 |
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Articles in Press |
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2026-03-10 09:00 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-06-25 10:02 |
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Publish the Manuscript Online |
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2026-08-21 03:32 |
| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Editorial |
| Article Title |
One tunnel, two pathologies: Tailoring submucosal tunnelling per-oral endoscopic myotomy in achalasia with epiphrenic diverticulum by septum morphology
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Meer M Chisthi, Krishnakumar G Kuttanchettiyar and Sindhu Viswanath |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Sindhu Viswanath, ENT, Government Medical College Trivandrum, Government Medical College Trivandrum, Thiruvananthapuram 695011, Kerala, India. sindhuvn@gmail.com |
| Key Words |
Achalasia; Epiphrenic diverticulum; Esophageal motility disorders; Per-oral endoscopic myotomy; Precision endoscopy; Septotomy; Submucosal tunneling |
| Core Tip |
Management of achalasia with epiphrenic diverticulum is evolving. A one-size-fits-all septotomy is no longer justified. Intra-procedural endoscopic phenotyping allows for a selective approach: division of a functionally obstructive muscular septum when present, and standard myotomy alone when absent. This precision strategy, supported by recent meta-analytic data showing high treatment success for per-oral endoscopic myotomy (POEM) in epiphrenic diverticula, achieves comparable outcomes to universal septotomy while minimizing overtreatment and its associated risks. |
| Publish Date |
2026-08-21 03:32 |
| Citation |
Chisthi MM, Kuttanchettiyar KG, Viswanath S. One tunnel, two pathologies: Tailoring submucosal tunnelling per-oral endoscopic myotomy in achalasia with epiphrenic diverticulum by septum morphology. World J Gastroenterol 2026; 32(35): 118916
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| URL |
https://www.wjgnet.com/1007-9327/full/v32/i35/118916.htm |
| DOI |
https://doi.org/10.3748/wjg.118916 |
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