Skip to main content
Erschienen in: Digestive Diseases and Sciences 4/2022

21.10.2021 | Stanford Multidisciplinary Seminars

High-Pressure Tactics: Jackhammer Esophagus—Diagnosing Is Easier than Treating

verfasst von: Pamela Milito, Stefano Siboni, Luigi Bonavina

Erschienen in: Digestive Diseases and Sciences | Ausgabe 4/2022

Einloggen, um Zugang zu erhalten

Abstract

Diagnosis of esophageal disorders is well ahead of available treatment options. With HRM, for example, one can identify numerous conditions and their variants, which may lose meaning if the clinical and therapeutic implications of these subclassifications are limited. We report an exemplary case of a patient with hiatal hernia complaining of reflux, dysphagia, and chest pain refractory to medical treatment. Jackhammer esophagus was diagnosed and a hybrid approach consisting of POEM and concomitant crural repair and Dor fundoplication is proposed.
Literatur
2.
Zurück zum Zitat Andolfi C, Bonavina L, Kavitt RT, Vani Konda JA, Asti E, Patti MG. Importance of esophageal manometry and pH monitoring in the evaluation of patients with refractory gastroesophageal reflux disease: a multicenter study. J Laparoendosc Adv Surg Tech 2016;26:548–550. https://doi.org/10.1089/lap.2016.0189 .CrossRef Andolfi C, Bonavina L, Kavitt RT, Vani Konda JA, Asti E, Patti MG. Importance of esophageal manometry and pH monitoring in the evaluation of patients with refractory gastroesophageal reflux disease: a multicenter study. J Laparoendosc Adv Surg Tech 2016;26:548–550. https://​doi.​org/​10.​1089/​lap.​2016.​0189 .CrossRef
5.
Zurück zum Zitat Melchior C, Chiavelli H, Leroi AM, Ducrotté P, Gourcerol G. Recovery of a "Jackhammer esophagus" after the treatment of an eosinophilic esophagitis. Am J Gastroenterol. 2012;107(6):952–4; author reply 954–5. https://doi.org/10.1038/ajg.2012.80. PMID: 22664853. Melchior C, Chiavelli H, Leroi AM, Ducrotté P, Gourcerol G. Recovery of a "Jackhammer esophagus" after the treatment of an eosinophilic esophagitis. Am J Gastroenterol. 2012;107(6):952–4; author reply 954–5. https://​doi.​org/​10.​1038/​ajg.​2012.​80. PMID: 22664853.
7.
Zurück zum Zitat Misselwitz B, Hollenstein M, Butikofer S, Ang D, Heinrich H, Fox M. Prospective serial diagnostic study: the effects of position and provocative tests on the diagnosis of oesophageal motility disorders by high-resolution manometry. Aliment Pharmacol Ther 2020;51:706–718.CrossRef Misselwitz B, Hollenstein M, Butikofer S, Ang D, Heinrich H, Fox M. Prospective serial diagnostic study: the effects of position and provocative tests on the diagnosis of oesophageal motility disorders by high-resolution manometry. Aliment Pharmacol Ther 2020;51:706–718.CrossRef
8.
Zurück zum Zitat Roman S, Kahrilas PJ. Management of spastic disorders of the esophagus. Gastroenterol Clin North Am. 2013;42:27–43.CrossRef Roman S, Kahrilas PJ. Management of spastic disorders of the esophagus. Gastroenterol Clin North Am. 2013;42:27–43.CrossRef
12.
14.
Zurück zum Zitat Weusten BLAM, Barret M, Bredenoord AJ, Familiari P, Gonzalez JM, van Hooft JE, et al. Endoscopic management of gastrointestinal motility disorders - part 1: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2020 Jun;52(6):498–515. doi: https://doi.org/10.1055/a-1160-5549. Epub 2020 May 6. Erratum in: Endoscopy. 2020;52(6):C6. PMID: 32375192. Weusten BLAM, Barret M, Bredenoord AJ, Familiari P, Gonzalez JM, van Hooft JE, et al. Endoscopic management of gastrointestinal motility disorders - part 1: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2020 Jun;52(6):498–515. doi: https://​doi.​org/​10.​1055/​a-1160-5549. Epub 2020 May 6. Erratum in: Endoscopy. 2020;52(6):C6. PMID: 32375192.
15.
Zurück zum Zitat Triadafilopoulos G, Kamal A, Zicos T, Nguyen L, Clarke JO. Changes in high-resolution manometric diagnosis over time: implications for clinical decision-making. Dis Esophagus 2020;33:doz094.CrossRef Triadafilopoulos G, Kamal A, Zicos T, Nguyen L, Clarke JO. Changes in high-resolution manometric diagnosis over time: implications for clinical decision-making. Dis Esophagus 2020;33:doz094.CrossRef
Metadaten
Titel
High-Pressure Tactics: Jackhammer Esophagus—Diagnosing Is Easier than Treating
verfasst von
Pamela Milito
Stefano Siboni
Luigi Bonavina
Publikationsdatum
21.10.2021
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 4/2022
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-021-07279-6

Weitere Artikel der Ausgabe 4/2022

Digestive Diseases and Sciences 4/2022 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.