Long‐term outcome of peroral endoscopic myotomy for achalasia treatment in a 9‐year‐old female patient. Issue 4 (18th May 2016)

• Record Type: Journal Article
• Authors: Yamashita, Kanefumi; Shiwaku, Hironari; Hirose, Ryuichiro; Kai, Hiroki; Nakashima, Ryo; Kato, Daisuke; Beppu, Richiko; Takeno, Shinsuke; Sasaki, Takamitsu; Nimura, Satoshi; Iwasaki, Akinori; Inoue, Haruhiro; Yamashita, Yuichi
• Is Part Of: Asian journal of endoscopic surgery. Volume 9:Issue 4(2016:Nov.)
• Page Start: 332
• Page End: 335
• Publication Date: 2016-05-18
• Subjects: Achalasia -- child -- peroral endoscopic myotomy; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12296
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Achalasia is a primary motility disorder with incomplete lower esophageal sphincter relaxation; it has an annual incidence of 0.11 cases per 100 000 children. Peroral endoscopic myotomy (POEM) is a new endoscopic treatment method for achalasia. Reports about POEM in pediatric patients are rare. We herein report the case of a 9‐year‐old female patient with achalasia who underwent POEM. The patient underwent endoscopic balloon dilatation because medication was not effective at a previous hospital; however, endoscopic balloon dilatation was not effective either. She then underwent successful POEM upon admission at our hospital. The patient was symptom‐free at 2 years postoperatively with no signs of esophagitis in the absence of proton‐pump inhibitor therapy.