A case of diffuse esophageal spasm treated with peroral endoscopic myotomy

Yuusaku Sugihara; Keita Harada; Ryo Kato; Kenji Yamauchi; Hiroyuki Sakae; Seiji Kawano; Sakiko Hiraoka; Yoshiro Kawahara; Fumio Otsuka; Hiroyuki Okada

A case of diffuse esophageal spasm treated with peroral endoscopic myotomy

Yuusaku Sugihara, Keita Harada, Ryo Kato, Kenji Yamauchi, Hiroyuki Sakae, Seiji Kawano, Sakiko Hiraoka, Yoshiro Kawahara, Fumio Otsuka, Hiroyuki Okada

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

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 language	English
Pages (from-to)	595-600
Number of pages	6
Journal	Acta medica Okayama
Volume	72
Issue number	6
Publication status	Published - 2018

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

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title = "A case of diffuse esophageal spasm treated with peroral endoscopic myotomy",

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.",

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T1 - A case of diffuse esophageal spasm treated with peroral endoscopic myotomy

AU - Sugihara, Yuusaku

AU - Harada, Keita

AU - Kato, Ryo

AU - Yamauchi, Kenji

AU - Sakae, Hiroyuki

AU - Kawano, Seiji

AU - Hiraoka, Sakiko

AU - Kawahara, Yoshiro

AU - Otsuka, Fumio

AU - Okada, Hiroyuki

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

KW - Diffuse esophageal spasm (DES)

KW - Diverticulum

KW - High-resolution manometry (HRM)

KW - Peroral endoscopic myotomy (POEM)

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A case of diffuse esophageal spasm treated with peroral endoscopic myotomy

Abstract

Keywords

ASJC Scopus subject areas

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