Peroral endoscopic myotomy in pediatric jackhammer esophagus
نویسندگان
چکیده
منابع مشابه
Peroral endoscopic myotomy (POEM) in jackhammer esophagus: a trick of the trade.
A 69-year-old man presented for evaluation of progressive atypical chest pain. The patient noted 4 years of progressive daily chest pain, regurgitation of food, and intermittent dysphagia. After extensive evaluation, the patient underwent esophageal manometry which led to a diagnosis of jackhammer esophagus characterized by 100% hypercontractile waves. The patient had minimal symptomatic respon...
متن کاملPeroral endoscopic myotomy for Jackhammer esophagus: to cut or not to cut the lower esophageal sphincter
BACKGROUND AND STUDY AIMS With the success of peroral endoscopic myotomy (POEM) in treatment of achalasia, its successful application to other spastic esophageal motility disorders such as Jackhammer esophagus has been noted. The question of whether the lower esophageal sphincter (LES) should be included in the myotomy for Jackhammer esophagus is a topic of current debate. Here, we report our e...
متن کاملOpen peroral endoscopic myotomy for achalasia with sigmoid-shaped esophagus.
A 54-year-old woman sought clinical consultation because of a > 27-year history of dysphagia. She had an Eckardt score of 13 and was diagnosed with sigmoid-type achalasia (S2 type, type II) based on esophageal motility testing, upper endoscopy, barium esophagography, and clinical presentations. We investigated a technique of peroral endoscopic myotomy (POEM) performed directly without a submuco...
متن کاملEpiphrenic diverticulum of the esophagus after peroral endoscopic myotomy.
A 34-year-old man was referred to our hospital because of chest pain and dysphagia that had lasted for 5 years. Endoscopy showed a tight esophagogastric junction (●" Fig.1). On high resolution manometry (Star Medical, Tokyo, Japan), the mean lower esophageal sphincter (LES) pressure and integrated relaxation pressure were 44.3 and 43.3mmHg, respectively (●" Fig.2). Type II achalasia was diagnos...
متن کاملGastric Peroral Endoscopic Myotomy
Gastroparesis (GP) is a syndrome characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach or proximal small bowel. Currently available dietary and medical therapies are limited and have suboptimal efficacy. Pylorus-directed therapies have showed promising results. Gastric peroral endoscopic myotomy (G-POEM) has been reported for the treatment of GP refra...
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ژورنال
عنوان ژورنال: Revista Española de Enfermedades Digestivas
سال: 2018
ISSN: 1130-0108
DOI: 10.17235/reed.2018.5090/2017