[Use of botulin toxin in the treatment of diffuse esophageal spasm. A case report].
The diffuse esophageal spasm distinguishes from others esophageal disturbs by the symptoms severity and bad results to conservative treatment. This situation requires formal indication to surgical treatment or dilation. In high risk patients this situation becomes a big problem, due to the lack of another therapeutic option. In a patient with this problem we use an endoscopic injection of botulin toxin in cardia with good results in three months follow-up. Despite this short period of observation we believe that the infiltration with botulin toxin in cardia constitutes a valid therapeutic option in treatment of diffuse esophageal spasm.
Henry
M A
MA
Faculdade de Medicina de Botucatu, Universidade Estadual de São Paulo, UNESP, Botucatu.
Prado
R G
RG
D000368:Aged; D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use*; D001905:Botulinum Toxins / Q000627:therapeutic use*; D015155:Esophageal Spasm, Diffuse / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D006801:Humans; D011859:Radiography
D018726:Anti-Dyskinesia Agents; D001905:Botulinum Toxins