Peroral endoscopic myotomy for the treatment of achalasia in a patient with esophageal varices. A case report.

Peroral endoscopic myotomy for the treatment of achalasia in a patient with esophageal varices. A case report.

J Gastrointestin Liver Dis. 2017 Jun;26(2):189-192

Authors: Shen N, Wang X, Zhang X, Yao L, Xie H, Zhang H

Abstract
Achalasia is very uncommon, and rarely does achalasia co-exist with esophageal varices. We present a 62-year-old woman who was diagnosed with both achalasia and esophageal varices in December 2014 and had a past history of hematemesis. The patient's achalasia symptoms' Eckardt score was 9, and her hepatic function was Child-Pugh grade A6. After comprehensive assessment of the patient's health and discussion of the pros and cons of various therapies for achalasia, the patient underwent a peroral endoscopic myotomy. She was symptom-free after the operation and had no recurrence of achalasia symptoms at 20-month follow-up. No adverse events were reported. Peroral endoscopic myotomy for achalasia with esophageal varices has not been previously reported in the English literature.

PMID: 28617890 [PubMed - in process]

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