Peroral endoscopic myotomy in a pediatric patient with refractory achalasia: a case report and review of the literature
| Autor: | Lesly Calixto-Aguilar, Fernando Palacios Salas, Paulo Bardalez Cruz, Evelyn Gonzales-Carazas, Jorge Vásquez Quiroga, Luis Marin Calderón, Edgar Alva Alva |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Natural Orifice Endoscopic Surgery Myotomy medicine.medical_specialty Esophageal achalasia Adolescent Pyloromyotomy Endoscopy medicine.medical_treatment Fundoplication Achalasia Heller Myotomy Esophageal Sphincter Lower Refractory otorhinolaryngologic diseases medicine Humans Child Heller myotomy medicine.diagnostic_test business.industry General Medicine medicine.disease Dysphagia Surgery Esophageal Achalasia Treatment Outcome Regurgitation (digestion) medicine.symptom business |
| Zdroj: | Revista de Gastroenterología del Perú; Vol. 41, Núm. 1 (2021); 37-40 Revista de Gastroenterología del Perú Sociedad de Gastroenterología del Perú instacron:SOCIOGASTRO |
| ISSN: | 1609-722X 1022-5129 |
| DOI: | 10.47892/rgp.2021.411.1242 |
| Popis: | A 15-year-old male patient presented with dysphagia, regurgitation, weight loss and retrosternal pain. The diagnosis of achalasia was made 4 years before. The esophagogram revealed severe esophagus dilatation and the classic "bird-beak" termination. A Heller myotomy plus fundoplication and endoscopic balloon dilatation were conducted four months previously. Nevertheless, the symptoms persisted and the last high-resolution manometry study still showed achalasia type II. The patient underwent a peroral endoscopic esophageal myotomy (POEM). POEM is a feasible and safe procedure for experienced and properly-equipped health care delivery centers and could be used as a rescue treatment in refractory achalasia. We present the youngest patient with achalasia in our region who had a successful response to rescue POEM. |
| Databáze: | OpenAIRE |
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