Journal
DISEASES OF THE ESOPHAGUS
Volume 29, Issue 6, Pages 695-696Publisher
WILEY-BLACKWELL
DOI: 10.1111/dote.12182
Keywords
high-resolution manometry; jackhammer esophagus; peroral endoscopic myotomy; POEM
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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.
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