ID 56378
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Author
Sugihara, Yuusaku Department of Gastroenterology and Hepatology, Okayama University Hospital
Harada, Keita Department of Gastroenterology and Hepatology, Okayama University Hospital
Kato, Ryo Department of Gastroenterology and Hepatology, Okayama University Hospital
Yamauchi, Kenji Department of Gastroenterology and Hepatology, Okayama University Hospital
Sakae, Hiroyuki Department of Gastroenterology and Hepatology, Okayama University Hospital
Kawano, Seiji Department of Gastroenterology and Hepatology, Okayama University Hospital
Hiraoka, Sakiko Department of Gastroenterology and Hepatology, Okayama University Hospital
Kawahara, Yoshiro Division of Endoscopy, Okayama University Hospital
Otsuka, Fumio Department of General Medicine, Okayama University Hospital
Okada, Hiroyuki Department of Gastroenterology and Hepatology, Okayama University Hospital
Abstract
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.
Keywords
diffuse esophageal spasm (DES)
diverticulum, peroral endoscopic myotomy (POEM)
high-resolution manometry (HRM)
Amo Type
Case Report
Published Date
2018-12
Publication Title
Acta Medica Okayama
Volume
volume72
Issue
issue6
Publisher
Okayama University Medical School
Start Page
595
End Page
600
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2018 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
NAID