Jackhammer esophagus: high-resolution manometry and therapeutic approach using peroral endoscopic myotomy (POEM).

Abstract:

:We present the first report on peroral endoscopic myotomy (POEM) in the treatment of jackhammer esophagus. A 34-year-old female patient was newly diagnosed with a jackhammer esophagus. After failure of medical treatment, the patient underwent POEM procedure for myotomy of the spastic segment. Postoperatively, a mild emphysema and pneumothorax occurred that required drainage and antibiotic therapy until full recovery. Discharge was possible after 5 days. Six months later, she presented with recurrent but mild pain due to a remnant spastic segment proximal to the myotomy. Endoscopic balloon dilation was performed twice within 6 weeks with full symptomatic relief of pain and mild symptoms of dysphagia.

journal_name

Dis Esophagus

authors

Kandulski A,Fuchs KH,Weigt J,Malfertheiner P

doi

10.1111/dote.12182

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

695-6

issue

6

eissn

1120-8694

issn

1442-2050

journal_volume

29

pub_type

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