Internal medicine (Tokyo, Japan) · 2015
A Patient with Vigorous Achalasia and Rapid Enlargement of an Epiphrenic Esophageal Diverticulum.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Tamura Yasuhiro, Funaki Yasushi, Adachi Kazuori, Noda Hisatsugu, Izawa Shinya, Iida Akihito, Ogasawara Naotaka, Miyaji Masahiko, Sasaki Makoto, Kasugai Kunio
Аннотация
A 47-year-old man was found to have a 3-cm epiphrenic esophageal diverticulum on an upper gastrointestinal (UGI) barium study. He developed the symptoms of heartburn approximately 12 months later. UGI endoscopy indicated non-erosive gastroesophageal reflux disease (NERD) and an epiphrenic esophageal diverticulum. A proton pump inhibitor (PPI) did not relieve the symptoms. An UGI barium study at that time showed that the epiphrenic esophageal diverticulum had enlarged to 7 cm, and esophageal manometry showed findings of achalasia and diffuse esophageal spasm (DES), thus vigorous achalasia was diagnosed. Resection of the epiphrenic esophageal diverticulum, myotomy, and fundoplication (the Heller-Dor procedure) were successfully performed and no postoperative symptoms were encountered.