ID | 56378 |
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Author |
Sugihara, Yuusaku
Department of Gastroenterology and Hepatology, Okayama University Hospital
Harada, Keita
Department of Gastroenterology and Hepatology, Okayama University Hospital
Kato, Ryo
Department of Gastroenterology and Hepatology, Okayama University Hospital
Yamauchi, Kenji
Department of Gastroenterology and Hepatology, Okayama University Hospital
Sakae, Hiroyuki
Department of Gastroenterology and Hepatology, Okayama University Hospital
Kawano, Seiji
Department of Gastroenterology and Hepatology, Okayama University Hospital
Hiraoka, Sakiko
Department of Gastroenterology and Hepatology, Okayama University Hospital
Kawahara, Yoshiro
Division of Endoscopy, Okayama University Hospital
Otsuka, Fumio
Department of General Medicine, Okayama University Hospital
Okada, Hiroyuki
Department of Gastroenterology and Hepatology, Okayama University Hospital
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Abstract | The indications for peroral endoscopic myotomy (POEM) have been expanded to include diffuse esophageal spasm (DES). A 67-year-old Japanese man presented with a 4-year history of dysphagia. Endoscopy and upper gastrography revealed abnormal peristaltic movements involving interruption of normal peristalsis, and a diverticulum located at the 2 o’clock esophageal position. High-resolution manometry indicated DES. POEM with a long (15 cm) myotomy was performed for the abnormal contractions, which subsequently disappeared along with dysphagia improvement. Our results suggest that esophageal motility disorders accompanying a diverticulum may be eliminated by POEM without treating the diverticulum itself. We speculate that POEM ameliorates esophageal diverticulum by reducing internal esophageal pressure.
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Keywords | diffuse esophageal spasm (DES)
diverticulum, peroral endoscopic myotomy (POEM)
high-resolution manometry (HRM)
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2018-12
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Volume | volume72
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Issue | issue6
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Publisher | Okayama University Medical School
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Start Page | 595
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End Page | 600
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2018 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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NAID |