ID 56378
JaLCDOI
フルテキストURL
Thumnail 72_6_595.pdf 15.1 MB
著者
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
抄録
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.
キーワード
diffuse esophageal spasm (DES)
diverticulum, peroral endoscopic myotomy (POEM)
high-resolution manometry (HRM)
Amo Type
Case Report
発行日
2018-12
出版物タイトル
Acta Medica Okayama
72巻
6号
出版者
Okayama University Medical School
開始ページ
595
終了ページ
600
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
NAID
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