Acta medica Okayama · 2018
A Case of Diffuse Esophageal Spasm Treated with Peroral Endoscopic Myotomy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sugihara Yuusaku, Harada Keita, Kato Ryo, Yamauchi Kenji, Sakae Hiroyuki, Kawano Seiji, Hiraoka Sakiko, Kawahara Yoshiro, Otsuka Fumio, Okada Hiroyuki
Аннотация
The indications for peroral endoscopic myotomy (POEM) have been expanded to include diffuse esophageal spasm (DES). A 67-year-old Japanese man presented with a 4-year history of dysphagia. Endoscopy and upper gastrography revealed abnormal peristaltic movements involving interruption of normal peristalsis, and a diverticulum located at the 2 o'clock esophageal position. High-resolution manometry indicated DES. POEM with a long (15 cm) myotomy was performed for the abnormal contractions, which subsequently disappeared along with dysphagia improvement. Our results suggest that esophageal motility disorders accompanying a diverticulum may be eliminated by POEM without treating the diverticulum itself. We speculate that POEM ameliorates esophageal diverticulum by reducing internal esophageal pressure.