Erschienen in:
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
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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.