Journal of Okayama Medical Association
Published by Okayama Medical Association<Availability>
Full-text articles are available 3 years after publication.
Permalink : https://ousar.lib.okayama-u.ac.jp/56386
An effective case of peroral endoscopic myotomy for esophageal abnormal peristalsis after Heller-Dor myotomy
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
Takashima, Shiho
Department of Gastroenterology and Hepatology, Okayama University Hospital
Yamasaki, Yasushi
Department of Gastroenterology and Hepatology, Okayama University Hospital
Inokuchi, Toshihiro
Department of Gastroenterology and Hepatology, Okayama University Hospital
Takahara, Masahiro
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
Manabe, Noriaki
Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School
Otsuka, Fumio
Department of General Medicine, Okayama University Hospital
Okada, Hiroyuki
Department of Gastroenterology and Hepatology, Okayama University Hospital
Published Date
2018-08-01
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）
Note
症例報告 (Case Report)
DOI
ISSN
0030-1558
NCID
AN00032489
NAID