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. 2019 Feb 28;25(8):909–922. doi: 10.3748/wjg.v25.i8.909

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©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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.

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The procedural steps of per oral endoscopic pyloromyotomy. A: Pre-pyloric area in the stomach; B: Mucosotomy site in prepyloric area; C: Submucosal tunnel creation; D: Pyloric ring; E: Myotomy; F: Closure of mucosotomy site with endoclips.