A Case of Diffuse Esophageal Spasm Treated with Peroral Endoscopic Myotomy

• Sugihara Yuusaku

• Harada Keita

• Kato Ryo

• Yamauchi Kenji

• Sakae Hiroyuki

• Kawano Seiji

• Hiraoka Sakiko

• Kawahara Yoshiro

• Otsuka Fumio

• Okada Hiroyuki

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.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 72 (6), 595-600, 2018-12

  Okayama University Medical School

キーワード

• diffuse esophageal spasm (DES)
• diverticulum, peroral endoscopic myotomy (POEM)
• high-resolution manometry (HRM)

詳細情報

• CRID: 1390572174774661760
• NII論文ID: http://ci.nii.ac.jp/naid/120006545163
• NII論文ID: 120006545163
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/56378
• PubMed: 30573915
• Web Site: https://ousar.lib.okayama-u.ac.jp/56378
• Web Site: https://search.jamas.or.jp/link/ui/2019286381
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • PubMed
  • CiNii Articles