Bridging therapy for achalasia in a second trimester pregnant patient

Autor:	Edward Stickle, Zachary Neubert
Rok vydání:	2019
Předmět:	Myotomy medicine.medical_specialty dysphagia medicine.medical_treatment Post-Procedure Population lcsh:Medicine Achalasia Case Report 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Second trimester botulinum otorhinolaryngologic diseases medicine 030212 general & internal medicine education Pregnancy education.field_of_study business.industry lcsh:R medicine.disease Dysphagia Surgery Gestation pregnancy medicine.symptom business
Zdroj:	Journal of Family Medicine and Primary Care, Vol 8, Iss 1, Pp 289-297 (2019) Journal of Family Medicine and Primary Care
ISSN:	2249-4863
Popis:	We present the case of a 28-year-old female who presented for primary care at 22-week gestation with type II achalasia and worsening solid/liquid dysphagia leading to pregnancy weight loss. Considering that durable therapies such as surgical myotomy and pneumatic dilatation have considerable risk, botulinum A toxin injection was selected as a temporizing bridging therapy. She had an uncomplicated post procedure course and had significant rapid improvement in dysphagia symptoms, which enabled her to progress to normal peripartum weight. This case highlights the need for early recognition of achalasia and an unique niche for use of botulinum toxin A as a temporizing therapy in this risk averse population.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::64d14d196fa5df831ad4ea23ad720484 https://doi.org/10.4103/jfmpc.jfmpc_389_18 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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