Pneumatic dilation for achalasia in a patient with esophageal varices.
Previous reports of simultaneous presence of esophageal varices (EV) and achalasia suggest placement of a transjugular intrahepatic portosystemic shunt (TIPS) and surgical myotomy or endoscopic therapy. We report the case of a 64-year-old man who received anticoagulant therapy for a myeloproliferative disorder with extensive portal thrombosis which was a contraindication to placement of a TIPS. .
Charles-Lemoyne Hospital, Gastroenterology Department, Longueuil, Canada.
Etienne
E
Désilets
Saint Joseph Hospital, Hepato-gastro-enterology Department, Marseille, France.
Arthur
A
Belle
Saint Joseph Hospital, Hepato-gastro-enterology Department, Marseille, France.
Christian
C
Boustière
Saint Joseph Hospital, Hepato-gastro-enterology Department, Marseille, France.
Arthur
A
Laquière