Year 2020 / Volume 112 / Number 1
Letter
Hypertensive panesophageal pressurization in type II achalasia

76

DOI: 10.17235/reed.2019.6414/2019

Luigi Melcarne, Anna Sánchez Vilanova, Carlos Guarner-Argente,

Abstract
We present a case-report about a patient with type II achalasia. In the high-resolution esophageal manometry (HRM), an atypical hypertensive panesophageal pressurizations were observed. Until now, the presence of hypertensive panesophageal pressurizations in type II achalasia was described in only one case-report. A POEM was performed. After the treatment, the patient presents a complete resolution of the symptoms. Control HRM showed a partial recovery of esophageal motility and the hypotonia of the gastro-esophageal junction.
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References
1. Kahrilas PJ, Bredenoord AJ, Fox M, et al. The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterology & Motility. 2015;27(2):160–74.
2. Andolfi C, Fisichella PM. Meta-analysis of clinical outcome after treatment for achalasia based on manometric subtypes. British Journal of Surgery. 2019;106(4):332–41.
3. Teitelbaum EN, Soper NJ, Santos BF, et al. Symptomatic and physiologic outcomes one year after peroral esophageal myotomy (POEM) for treatment of achalasia. Surgical Endoscopy. 2014;28(12):3359–65.
4. Wang D, Xu H, Tang T, et al. Assessment of the esophagogastric junction ( EGJ ) using the EGJ contractile integral ( EGJ-CI ) following per-oral endoscopic myotomy ( POEM ) in achalasia. Rev Esp Enferm Dig. 2018;110(11):706–11.
5. Kim HH, Choi MG. Extremely high panesophageal pressurization in type II achalasia. Journal of Neurogastroenterology and Motility. 2013;19(3):407–8.
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Melcarne L, Sánchez Vilanova A, Guarner-Argente C. Hypertensive panesophageal pressurization in type II achalasia. 6414/2019


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Publication history

Received: 28/05/2019

Accepted: 11/06/2019

Online First: 11/12/2019

Published: 10/01/2020

Article Online First time: 197 days

Article editing time: 227 days


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