Jackhammer esophagus: high-resolution manometry and therapeutic approach using peroral endoscopic myotomy (POEM). Issue 6 (1st September 2016)

• Record Type: Journal Article
• Authors: Kandulski, A.; Fuchs, K.-H.; Weigt, J.; Malfertheiner, P.
• Is Part Of: Diseases of the esophagus. Volume 29:Issue 6(2016)
• Page Start: 695
• Page End: 696
• Publication Date: 2016-09-01
• Subjects: high-resolution manometry -- jackhammer esophagus -- peroral endoscopic myotomy -- POEM; Esophagus -- Diseases -- Periodicals; 616.32
• DOI: 10.1111/dote.12182
• Languages: English
• ISSNs: 1120-8694

Abstract

Summary: 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.