Jackhammer esophagus: high-resolution manometry and therapeutic approach using peroral endoscopic myotomy (POEM).
We present the first report on peroral endoscopic myotomy (POEM) in the treatment of jackhammer esophagus. A 34-year-old female patient was newly diagnosed with a jackhammer esophagus. After failure of medical treatment, the patient underwent POEM procedure for myotomy of the spastic segment. Postoperatively, a mild emphysema and pneumothorax occurred that required drainage and antibiotic therapy until full recovery. Discharge was possible after 5 days. Six months later, she presented with recurrent but mild pain due to a remnant spastic segment proximal to the myotomy. Endoscopic balloon dilation was performed twice within 6 weeks with full symptomatic relief of pain and mild symptoms of dysphagia.
Department of Gastroenterology Hepatology and Infectious Disease, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
A
A
Kandulski
Department of General-, Abdominal- and Thoracic Surgery, Agaplesion Markus Krankenhaus, Frankfurt, Germany.
K-H
KH
Fuchs
Department of Gastroenterology Hepatology and Infectious Disease, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
J
J
Weigt
Department of Gastroenterology Hepatology and Infectious Disease, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
P
P
Malfertheiner
D000328:Adult; D015154:Esophageal Motility Disorders / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D008365:Manometry
POEM; high-resolution manometry; jackhammer esophagus; peroral endoscopic myotomy