Isolated hypertensive lower esophageal sphincter: treatment of a resistant case by pneumatic dilatation.
We describe a patient with dysphagia and chest pain, whose sole esophageal manometric abnormality was an elevated lower esophageal sphincter pressure. A radionuclide esophageal emptying test showed prolongation of emptying. After bougienage and medications failed to give relief, pneumatic dilatation gave excellent subjective and objective results.
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology; D004106:Dilatation / Q000379:methods*; D004935:Esophageal Diseases / Q000503:physiopathology / Q000628:therapy; D004943:Esophagogastric Junction / Q000503:physiopathology; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D006801:Humans; D008365:Manometry; D010146:Pain / Q000209:etiology; D011312:Pressure; D013909:Thorax