Title Alternative An effective case of peroral endoscopic myotomy for esophageal abnormal peristalsis after Heller-Dor myotomy
Author Sugihara, Yuusaku| Harada, Keita| Kato, Ryo| Yamauchi, Kenji| Takashima, Shiho| Yamasaki, Yasushi| Inokuchi, Toshihiro| Takahara, Masahiro| Kawano, Seiji| Hiraoka, Sakiko| Manabe, Noriaki| Otsuka, Fumio| Okada, Hiroyuki|
Abstract Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Our patient, a Japanese male in his 80's, had been experiencing dysphagia for almost 60 years. He was treated with balloon dilations and Heller-Dor 5 years prior to his present admission. Esophagogastroduodenoscopy, esophageal radiography, and high-myotomy manometry indicated that the symptoms were likely due to abnormal peristalsis. With the patient’s informed consent, we performed a peroral endoscopic myotomy(POEM). The patient was discharged 4 days post-surgery. At the 6-month postoperative examination, no worsening of symptoms or relapse was observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect. We recommend that POEM be considered as the first-choice treatment for abnormal peristalsis after a Heller-Dor myotomy.
Keywords POEM(peroral endoscopic myotomy) 食道アカラシア(esophageal achalasia)
Publication Title Journal of Okayama Medical Association
Published Date 2018-08-01
Volume volume130
Issue issue2
Start Page 67
End Page 71
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.67
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.67
NAID 130007481050
Author Takashima, Shiho|
Published Date 2016-03-25
Content Type Thesis or Dissertation