Per-oral endoscopic myotomy for esophageal Achalasia following distal gastrectomy

Ryohei Ando, Chiaki Satoh, Toshiaki Fukutomi, Hiroshi Okamoto, Kai Takaya, Yusuke Taniyama, Takashi Kamei

Research output: Contribution to journalArticlepeer-review

Abstract

The patient was a male in his 70s with a history of distal gastrectomy and Billroth-I reconstruction. He was suspected of having esophageal achalasia and was started on calcium blockers in X - 2 year. The symptoms worsened, and he presented to our hospital in X year. We diagnosed esophageal achalasia (Chicago classification ver. 3.0; type I), and conducted per-oral endoscopic myotomy (POEM). His postoperative course was uneventful with no postoperative symptoms. In cases of esophageal achalasia following distal gastrectomy, it is important to consider adhesions, mobility of the remaining stomach, and preservation of the short gastric artery and vein. Since the Heller-Dor operation can be difficult, POEM may be a reasonable alternative in these cases.

Original languageEnglish
Pages (from-to)796-801
Number of pages6
JournalJournal of Japanese Society of Gastroenterology
Volume117
Issue number9
DOIs
Publication statusPublished - 2020 Sep 10

ASJC Scopus subject areas

  • Gastroenterology

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