A case of diffuse esophageal spasm treated with peroral endoscopic myotomy

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)595-600
Number of pages6
JournalActa Medica Okayama
Volume72
Issue number6
Publication statusPublished - Jan 1 2018

Fingerprint

Diffuse Esophageal Spasm
Endoscopy
Diverticulum
Clocks
Deglutition Disorders
Esophageal Diverticulum
Esophageal Motility Disorders
Peristalsis
Dyskinesias
Manometry
Pressure

Keywords

  • Diffuse esophageal spasm (DES)
  • Diverticulum
  • High-resolution manometry (HRM)
  • Peroral endoscopic myotomy (POEM)

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

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.

In: Acta Medica Okayama, Vol. 72, No. 6, 01.01.2018, p. 595-600.

Research output: Contribution to journalArticle

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AU - Kawano, Seiji

AU - Hiraoka, Sakiko

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