Fig. 2. A non-relaxing lower esophageal sphincter “grips” an overtube (arrow) as it is being advanced into the stomach of a 38-year-old female with achalasia and sigmoid esophagus. As the semi-rigid overtube advances and straightens within the esophagus, the gastroesophageal junction can be seen invaginating into the stomach.
© Korean J Gastroenterol